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1114432317
LAURA JO ROTH
LONG BEACH, CA
NPI
1114432317
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Former Name
LAURA JO ROTH-SHOFRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY12823)
Enumeration Date
2017-12-10
Last Update Date
2017-12-10
Business Address
LAURA JO ROTH Psychologist
4300 LONG BEACH BLVD
LONG BEACH, CA 90807-2011
Phone number: 562-294-4024
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Mailing Address
LAURA JO ROTH Psychologist
90 VANTIS DR UNIT 2070
ALISO VIEJO, CA 92656-2507
Phone number: 949-300-4623
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