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1295254522
LISA CAROLYN ROTH
BISMARCK, ND
NPI
1295254522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1795)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
LISA CAROLYN ROTH LAC
101 E BROADWAY AVE
BISMARCK, ND 58501-3840
Phone number: 701-222-0386
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Mailing Address
LISA CAROLYN ROTH LAC
101 E BROADWAY AVE
BISMARCK, ND 58501-3840
Phone number: 701-222-0386
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