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1033300017
MARY ANN ROTH
BARABOO, WI
NPI
1033300017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 2800)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Mrs. MARY ANN ROTH LPC
E12155 SIDE RD
BARABOO, WI 53913-9752
Phone number: 608-209-4480
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Mailing Address
Mrs. MARY ANN ROTH LPC
E12155 SIDE RD
BARABOO, WI 53913-9752
Phone number: 608-209-4480
Copy
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