Individual
CAROLINE ELIZABETH ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2927
(518) 697-8010
Mailing address
744 WARREN ST FL 3, HUDSON, NY 12534-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116152
NY
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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