Individual
MS. CAROL F ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-7432
Mailing address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-7432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012848
PA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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