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1780716506
BONNIE JANE ROTH
VAN NUYS, CA
NPI
1780716506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-03-09
Last Update Date
2011-03-09
Business Address
-- BONNIE JANE ROTH
14660 OXNARD ST
VAN NUYS, CA 91411-3119
Phone number: 818-901-4836
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Mailing Address
-- BONNIE JANE ROTH
13025 MOORPARK ST #203
STUDIO CITY, CA 91604-1464
Phone number: 818-905-9475
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