Organization
MICHELE M ROTH MS LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M ROTH M.S. (L.P.C.)
(856) 297-9689
Entity
Organization
Contact information
Practice address
3288 DELSEA DR STE D, FRANKLINVILLE, NJ 08322-3165
(856) 297-9689
(856) 243-2456
Mailing address
15 W DEHART AVE, CLAYTON, NJ 08312-2458
(856) 297-9689
(856) 243-2456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00324400
NJ
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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