Individual
SHARI ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7879
Mailing address
8 BRADFORD PL, PASSAIC, NJ 07055-2507
(973) 271-8273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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