SUSAN ROTH

MCHENRY, IL
NPI1548919905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  178.017926)
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
SUSAN ROTH
4209 W SHAMROCK LN UNIT C
MCHENRY, IL 60050-8700
Phone number: 815-344-9443
Mailing Address
SUSAN ROTH
4209 W SHAMROCK LN UNIT C
MCHENRY, IL 60050-8700
Phone number: 815-344-9443
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