Roach, Kawanza
Roach, Kawanza is an sole proprietor health care provider with primary practice located at 233 Silver Spring St , Dallas GA 30157-8289. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roach, Kawanza can be contacted via phone (678) 670-9639.Contact Information
Primary practice address
233 Silver Spring St
Dallas GA 30157-8289
Phone: (678) 670-9639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Georgia |
Profile Details
| NPI number | 1891230579 |
|---|---|
| LBN Legal business name | Roach, Kawanza |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2017 |
| Last updated | Jan 4th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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