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1770623852
KEIRSTEN ANNE JOHNSON-ROATH
PLAINFIELD, IN
NPI
1770623852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004017A)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- KEIRSTEN ANNE JOHNSON-ROATH LCSW
3910 CLARKS CREEK RD
PLAINFIELD, IN 46168-1947
Phone number: 317-750-1177
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Mailing Address
-- KEIRSTEN ANNE JOHNSON-ROATH LCSW
521 ELM DR
PLAINFIELD, IN 46168-2113
Phone number: 317-750-1177
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