Individual
MRS. ELENA C ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
200 S CHURCH ST, QUARRYVILLE, PA 17566-1218
(717) 806-5050
Mailing address
200 S CHURCH ST, QUARRYVILLE, PA 17566-1218
(717) 806-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW134952
PA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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