Individual
MR. JEFFREY D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
333 N WASHINGTON, STE 260, HUTCHINSON, KS 67501
(620) 662-4700
(620) 622-4757
Mailing address
609 CLOVER LANE, HESSTON, KS 67062
(316) 650-8035
(620) 667-4757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW6483
KS
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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