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NPI Code Detail

MEDICARE: JAIME ROCHAT LCSW

MEDICARE:   JAIME  ROCHAT  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker50675TX

General Provider Information

NPI Number : 1548594625
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME ROCHAT LCSW
Provider Business Mailing Address
First Line : 5534 BENNING DR
Second Line :
City : HOUSTON
State : TX
Zip : 77096-6134
Country : US
Telephone Number : 713-723-3909
Fax Number :
Provider Business Practice Location Address
First Line : 6260 WESTPARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77057-7312
Country : US
Telephone Number : 713-781-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 09/23/2009

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Directions to “ JAIME ROCHAT LCSW” Practice Location

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