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Individual

DIANE ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. C.G.S.

Contact information

Practice address
4 POST OFFICE SQ, TAUNTON, MA 02780-3207
(508) 823-5291
(508) 823-5906
Mailing address
4 POST OFFICE SQ, TAUNTON, MA 02780-3207
(508) 823-5291
(508) 823-5906

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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