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General NPI Number Information
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NPI Number | 1447080502
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Entity Type | Individual
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Provider Name | MONICA ROCHE LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1 DOVE AVE
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City | SALEM
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State | MA
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Zip | 01970-2944
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Country | US
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Telephone | 978-354-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 71 MILL ST
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City | GEORGETOWN
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State | MA
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Zip | 01833-1627
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Country | US
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Telephone | 978-601-8653
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 228944
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW04575
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License Number State | RI
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