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1588334171
AMANDA MARIE ROTH
BLOOMINGTON, IN
NPI
1588334171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20043515A)
Enumeration Date
2021-09-15
Last Update Date
2023-05-06
Business Address
Dr. AMANDA MARIE ROTH PsyD
120 W 7TH ST
BLOOMINGTON, IN 47404-3834
Phone number: 812-929-4593
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Mailing Address
Dr. AMANDA MARIE ROTH PsyD
3849 S CRAMER CIR
BLOOMINGTON, IN 47403-8997
Phone number: 812-929-4593
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