PATRICIA NICOLE ROTH

SISSETON, SD
NPI1629692868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  15061692)
Enumeration Date2020-06-03
Last Update Date2020-06-03
Business Address
PATRICIA NICOLE ROTH LAC
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
Mailing Address
PATRICIA NICOLE ROTH LAC
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606