Individual
MS. DANA BETH ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MILL ST, NB2, BELMONT, MA 02478-1064
(617) 855-3280
Mailing address
115 MILL ST, NB2, BELMONT, MA 02478-1064
(617) 855-3280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000009259
MA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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