GEORGIA L ROTH

VIBURNUM, MO
NPI1073146957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2016044090)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
GEORGIA L ROTH LCSW
83 HIGHWAY 49
VIBURNUM, MO 65566-1001
Phone number: 573-244-5555
Mailing Address
GEORGIA L ROTH LCSW
PO BOX 706
VIBURNUM, MO 65566-0706
Phone number: 573-244-5555
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