Individual
MS. JULIE ANN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
9415 W FOREST HOME AVE, SUITE 108, HALES CORNERS, WI 53130-1680
(414) 427-4884
(414) 427-4889
Mailing address
9415 W FOREST HOME AVE, SUITE 108, HALES CORNERS, WI 53130-1680
(414) 427-4884
(414) 427-4889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15618-130
WI
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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