Individual
KIM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 PARTRIDGE LN, AUBURN, ME 04210-8636
(207) 784-7738
Mailing address
89 PARTRIDGE LN, AUBURN, ME 04210-8636
(207) 784-7738
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
31341
ME
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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