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1518100999
ELLEN A ROTH
LEXINGTON, MA
NPI
1518100999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1015697)
Enumeration Date
2009-04-14
Last Update Date
2009-04-14
Business Address
Ms. ELLEN A ROTH M.S.W.
1 MAGUIRE RD
LEXINGTON, MA 02421-3114
Phone number: 781-860-1730
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Mailing Address
Ms. ELLEN A ROTH M.S.W.
1 MAGUIRE RD
LEXINGTON, MA 02421-3114
Phone number: 781-860-1730
Copy
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