Individual
MRS. SALLIE ANN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
271 FINCH AVE, MERIDEN, CT 06451-2715
(203) 237-8084
Mailing address
271 FINCH AVE, MERIDEN, CT 06451-2715
(203) 237-8084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7885
CT
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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