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Individual
MARIA K. ROTH
Active
Individual
MARIA K. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.021325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443552
—
OH
Enumeration date
02/14/2018
Last updated
12/04/2024
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