Individual
KATHLEEN DENISE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
459 PATTERSON ROAD, DEPARTMENT OF VETERANS AFFAIRS MENTAL HEALTH SERVICES, HONOLULU, HI 96819-1522
(808) 433-0609
Mailing address
2916 DATE ST. 10-D, HONOLULU, HI 96816
(808) 734-2337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3024
HI
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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