MARC ROTH

GOSHEN, IN
NPI1184613028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39001276A)
Enumeration Date2005-10-13
Last Update Date2012-12-18
Business Address
Mr. MARC ROTH LMHC
1930 W LINCOLN AVE
GOSHEN, IN 46526-5907
Phone number: 574-534-2161
Mailing Address
Mr. MARC ROTH LMHC
1908 W LINCOLN AVE
GOSHEN, IN 46526-5907
Phone number:
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