Kandace Roth
Kandace Roth is a Social Worker in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
411 E Washington StEast Peoria, IL 61611-2663
Phone: (309) 282-6704
Fax: (309) 387-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.023565 (IL) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1205184884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | July 28, 2021 |
| Certification date | July 28, 2021 |
| Mailing address | 411 E Washington St, East Peoria, IL 61611-2663 |
Other providers in East Peoria
-
Jerri Jean Genovese, MSW, LCSW, CADC
2511 N Main St, East Peoria, IL 61611-1783 · (309) 670-0459