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Individual

ANNA LAURIE ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. LMHC

Contact information

Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
(844) 385-4630
Mailing address
1295 BANDANA BLVD N STE 200, SAINT PAUL, MN 55108-5126
(888) 364-5977
(844) 385-4630

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60390532
WA

Other

Enumeration date
08/22/2013
Last updated
02/22/2019
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