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1396953923
MICHELE ROTH
GRAND RAPIDS, MN
NPI
1396953923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301484)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- MICHELE ROTH LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-327-1105
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Mailing Address
-- MICHELE ROTH LADC
215 SE 2ND AVE
GRAND RAPIDS, MN 55744-3615
Phone number:
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