Individual
HAYLEY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9819 S 168TH AVE STE 6B, OMAHA, NE 68136-1154
(402) 590-8932
Mailing address
9565 S 183RD AVE, OMAHA, NE 68136-6537
(641) 821-0404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008417
IA
1041C0700X
Clinical Social Worker
3838
NE
1041C0700X
Clinical Social Worker
5104
NE
Other
Enumeration date
03/20/2014
Last updated
01/30/2025
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