SU ROTH

FORT WAYNE, IN
NPI1265023642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34010888A)
Enumeration Date2021-01-28
Last Update Date2026-05-05
Business Address
SU ROTH
8633 CASTLE CREEK DR
FORT WAYNE, IN 46804-2759
Phone number: 317-775-4994
Mailing Address
SU ROTH
8633 CASTLE CREEK DR
FORT WAYNE, IN 46804-2759
Phone number: 317-775-4994
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