Individual
ERIK G ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10096 W FAIRVIEW AVE STE 160, BOISE, ID 83704-5004
(208) 908-7882
Mailing address
10096 W FAIRVIEW AVE STE 160, BOISE, ID 83704-5004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42753
ID
Other
Enumeration date
02/18/2013
Last updated
05/28/2025
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