Individual
GIL G ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7813 TREE LN, MADISON, WI 53717-1663
(608) 334-7770
Mailing address
7813 TREE LN, MADISON, WI 53717-1663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8966
WI
Other
Enumeration date
03/21/2017
Last updated
11/02/2020
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