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1699765933
STEFANIE RACHEL ROTH
WOODMERE, NY
NPI
1699765933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 059353-1)
Enumeration Date
2005-10-27
Last Update Date
2010-09-20
Business Address
Ms. STEFANIE RACHEL ROTH LCSW
112 FRANKLYN PLACE
WOODMERE, NY 11598-1217
Phone number: 516-374-3671
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Mailing Address
Ms. STEFANIE RACHEL ROTH LCSW
41 BAR BEACH RD PORT WASHINGTON
PORT WASHINGTON, NY 11050-4003
Phone number: 516-883-1151
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