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1295284644
LAURIE M ROTH
PETALUMA, CA
NPI
1295284644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC25807)
Enumeration Date
2016-09-27
Last Update Date
2016-09-27
Business Address
Ms. LAURIE M ROTH MFT
159 KENTUCKY ST SUITE 1
PETALUMA, CA 94952-2305
Phone number: 707-778-8414
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Mailing Address
Ms. LAURIE M ROTH MFT
159 KENTUCKY ST STE 1
PETALUMA, CA 94952-2324
Phone number: 707-778-8414
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