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1770052219
STEPHANIE R ROTH
WALLED LAKE, MI
NPI
1770052219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
STEPHANIE R ROTH
1010 E WEST MAPLE RD
WALLED LAKE, MI 48390-3571
Phone number: 248-313-2900
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Mailing Address
STEPHANIE R ROTH
24489 OLDE ORCHARD ST
NOVI, MI 48375-2975
Phone number:
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