Individual
MR. STEPHEN ROTH PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7413 DIXIE HWY, SUITE 4, FLORENCE, KY 41042-2514
(859) 547-5779
Mailing address
10 DELL CT, FLORENCE, KY 41042-2316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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