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1790096626
JUSTIN MICHAEL ROTH
TAMPA, FL
NPI
1790096626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 9914)
Enumeration Date
2010-06-25
Last Update Date
2016-03-23
Business Address
-- JUSTIN MICHAEL ROTH LCSW
550 N REO ST SUITE 300
TAMPA, FL 33609-1061
Phone number: 303-817-8953
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Mailing Address
-- JUSTIN MICHAEL ROTH LCSW
550 N REO ST SUITE 300
TAMPA, FL 33609-1061
Phone number: 303-817-8953
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