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1497885883
STACEY ROBIN ROTH
PASADENA, CA
NPI
1497885883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19006)
Enumeration Date
2007-03-06
Last Update Date
2014-02-05
Business Address
-- STACEY ROBIN ROTH LCSW
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
-- STACEY ROBIN ROTH LCSW
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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