Individual
NANCY E. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8 HALES HOLW, DOVER, MA 02030-2417
(508) 785-1971
Mailing address
8 HALES HOLW, DOVER, MA 02030-2417
(508) 785-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00-1020296
MA
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00-1020296
DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
08/22/2018
Last updated
08/22/2018
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