Individual
MARISA JEANE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LIGONIER ST, LATROBE, PA 15650-2912
(724) 804-7232
Mailing address
129 COEN MOBILE HOME LN, RUFFS DALE, PA 15679-1738
(724) 771-0067
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SW131045
PA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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