Individual
JULIE CHRISTINA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 1ST AVE NW STE 210, ROCHESTER, MN 55901-2830
(507) 990-4244
Mailing address
300 1ST AVE NW STE 210, ROCHESTER, MN 55901-2830
(507) 990-4244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
29128
MN
1041C0700X
Clinical Social Worker
Primary
29128
MN
Other
Enumeration date
07/07/2022
Last updated
10/23/2024
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