JACQUELINE MARIE ROTH

ARLINGTON, WA
NPI1669021952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60298450)
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
JACQUELINE MARIE ROTH
5700 172ND ST NE
ARLINGTON, WA 98223-7742
Phone number: 360-652-9640
Mailing Address
JACQUELINE MARIE ROTH
5700 172ND ST NE
ARLINGTON, WA 98223-7742
Phone number: 360-652-9640
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