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1295936912
NANCY ROTH
TWIN FALLS, ID
NPI
1295936912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-3802)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- NANCY ROTH LPC
1061 BLUE LAKES BLVD N SUITE 104
TWIN FALLS, ID 83301-3362
Phone number: 208-743-0407
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Mailing Address
-- NANCY ROTH LPC
4110 HIDDEN LAKES DR
KIMBERLY, ID 83341-4000
Phone number: 208-420-0338
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