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Individual
DANIEL STEPHEN ROTH
Active
Individual
DANIEL STEPHEN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CBIS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
06/06/2024
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