ELLEN ROTH

NEW CITY, NY
NPI1326114992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R0361531)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
-- ELLEN ROTH LCSW R
20 SQUADRON BOULEVARD #560 DR MARK TARLE
NEW CITY, NY 10956
Phone number: 845-639-3150
Mailing Address
-- ELLEN ROTH LCSW R
62 GEDNEY STREET
NYACK, NY 10960-2208
Phone number: 845-358-0044
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