Robert Deforrest Roggenbach, M.S.W.
Social Worker, Clinical in Independence, MO. Individual provider (NPI-1).
NPI number1528035599
StatusActive
Last updated in NPPESJan 11, 2010
Details
- NPI
- 1528035599
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Deforrest Roggenbach
- Credential
- M.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2006
- Last updated
- Jan 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW 000177 | MO | Yes |
Practice location
12600 E 40 HwySuite 101
Independence, MO 64055-5955
Phone 816-350-3333 · Fax 816-478-8888
Mailing address
12600 E 40 HwySuite 101
Independence, MO 64055-5955
Phone 816-350-3333 · Fax 816-478-8888
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