| Doctor Name: | MARJORIE RUTH ROCCOBERTON |
| NPI Number: | 1881974855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MARJORIE ROCCOBERTON |
| License Number: | 2102085697 |
| Business Practice Address: | 82 Shoddy Mill Rd Bolton, CT - 060437818 |
| Business Phone Number: | 8609770630 |
| Business Fax Number: | |
| Mailing Address: | 82 Shoddy Mill Rd., BOLTON |
| State: | CT |
| Postal Code: | 060437818 |
| Phone Number: | 8609770630 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2011 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 2102085697 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |