Individual
LISA MICHELLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21419 W DOVE VALLEY RD, WITTMANN, AZ 85361-8412
(623) 388-2321
Mailing address
1273 S 220TH DR, BUCKEYE, AZ 85326-8666
(623) 535-4066
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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