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1356790612
AMY LYNN ROTH
PORT WASHINGTON, NY
NPI
1356790612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 084265-1)
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- AMY LYNN ROTH Lcsw
11 ORCHARD FARM RD
PORT WASHINGTON, NY 11050-3309
Phone number: 516-767-0533
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Mailing Address
-- AMY LYNN ROTH Lcsw
11 ORCHARD FARM RD
PORT WASHINGTON, NY 11050-3309
Phone number: 516-767-0533
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