person
Ms. Erica Latoya Roseboro, MSN
Addiction (Substance Use Disorder) Counselor in Worcester, Massachusetts
NPI 1598959546

Erica Latoya Roseboro is an Addiction (Substance Use Disorder) Counselor based in Worcester, MA and is specialized in Addiction (Substance Use Disorder). Erica Latoya Roseboro practices in Worcester, MA and has the professional credentials of MSN. The NPI Number for Erica Latoya Roseboro is 1598959546 and holds a License No. (Massachusetts).

The current practice location address for Erica Latoya Roseboro is 105 Merrick St, Worcester, MA and can be reached out via phone at 508-797-6100 and via fax at 508-797-0693.

Location: 105 Merrick St, Worcester, MA, 01605-1906
person
Provider Profile Details
NPI Number
1598959546
Provider Name
Erica Latoya Roseboro
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
105 Merrick St, Worcester, MA, 01605-1906
Phone Number
508-797-6100
Fax Number
508-797-0693
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306421 05 MA
M18684 01 MA BCBS MH
1308785 05 MA
2220002001 01 MA BCBS
Y10400 01 MA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
105 Merrick St
City
State
Zip
01609-1937
Phone Number
508-797-6100
Fax Number
508-797-0693
person
Provider Business Mailing Address Details
Address
105 Merrick St
City
State
Zip
01609-1937
Phone Number
508-797-6100
Fax Number
508-797-0693
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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