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Individual
MARIE E. ROTH
Active
Individual
MARIE E. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00069364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354003
COMMUNITY BLUE
NY
Enumeration date
06/08/2006
Last updated
07/13/2026
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