Individual
ELLEN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7472 W SAHARA AVE, STE 102-A, LAS VEGAS, NV 89117-2783
(702) 232-9533
Mailing address
7472 W SAHARA AVE, LAS VEGAS, NV 89117-2783
(702) 232-9533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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