Individual
BRACHA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6517 GLENWICK CT, BALTIMORE, MD 21209-2539
(443) 985-0272
Mailing address
6517 GLENWICK CT, BALTIMORE, MD 21209-2539
(443) 985-0272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17129
MD
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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