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1174254460
JENNIFER ROTH
FLAGSTAFF, AZ
NPI
1174254460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-20324)
Enumeration Date
2022-06-18
Last Update Date
2022-07-22
Business Address
JENNIFER ROTH LPC
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-863-8354
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Mailing Address
JENNIFER ROTH LPC
2532 N 4TH ST # 506
FLAGSTAFF, AZ 86004-3712
Phone number: 928-863-8354
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