Individual
ROBERTA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 SPYGLASS DR, EUGENE, OR 97401-2089
(541) 484-6986
(541) 484-6986
Mailing address
553 SPYGLASS DRIVE DRIVE, EUGENE, OR 97401
(541) 484-6986
(541) 484-6986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000174
OR
Other
Enumeration date
01/04/2006
Last updated
08/06/2016
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