Individual
ALEXANDRA JADE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 COURT ST, BROOKLYN, NY 11201-6445
(215) 964-8034
Mailing address
1719 HIMROD ST APT 2R, RIDGEWOOD, NY 11385-1479
(215) 964-8034
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
06/30/2023
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