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1750738001
JESSICA ROTHBAUM
COLUMBIA, MD
NPI
1750738001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP6821)
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
-- JESSICA ROTHBAUM LGPC
10005 OLD COLUMBIA RD L260
COLUMBIA, MD 21046-1702
Phone number: 443-259-0400
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Mailing Address
-- JESSICA ROTHBAUM LGPC
1515 OGDEN ST NW APT 530
WASHINGTON, DC 20010-1239
Phone number: 317-432-6265
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