Organization
CAROLYN ROATH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN T ROATH LMSW (OWNER)
(517) 242-4426
Entity
Organization
Contact information
Practice address
5505 STAR FLOWER DR, HASLETT, MI 48840-8695
(517) 242-4426
Mailing address
5505 STAR FLOWER DR, HASLETT, MI 48840-8695
(517) 242-4426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/27/2019
Last updated
10/29/2023
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