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1356558993
JILL STACEY ROTH
NEW YORK, NY
NPI
1356558993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 056681)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Ms. JILL STACEY ROTH L.M.S.W
423 E 23RD ST
NEW YORK, NY 10010-5011
Phone number: 212-496-7776
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Mailing Address
Ms. JILL STACEY ROTH L.M.S.W
142 WEST END AVE. 9T
NEW YORK, NY 10023
Phone number: 212-496-7776
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