Provider Information for 1194061440
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ROCHELLE MK NAKOA LCSW
Sex: Female
NPI: 1194061440
Last Updated: 2012-12-13
Certification Date:
Certification Date:
Details
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| NPI | 1194061440 | ||||||||
| Enumeration Date | 2012-12-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 309 E COLLEGE ST MARSHALL, MO 65340-3105 United States Phone: 808-728-1162 | Fax: | ||||||||
| Primary Practice Address | 2200 SOMERVILLE RD STE 300 ANNAPOLIS, MD 21401-3713 United States Phone: 410-990-0795 | Fax: | ||||||||
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