Roth, Kandace

Roth, Kandace is an individual health care provider with primary practice located at 411 E Washington St , East Peoria IL 61611-2663. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roth, Kandace can be contacted via phone (309) 282-6704.

Contact Information

Primary practice address
411 E Washington St East Peoria IL 61611-2663
Phone: (309) 282-6704
Fax: (309) 387-2340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.023565 Illinois

Profile Details

NPI number 1205184884
LBN Legal business name Roth, Kandace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Jul 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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