STACEY LYNN ROTH

JAMAICA, NY
NPI1871168732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2021-05-24
Last Update Date2021-05-24
Business Address
STACEY LYNN ROTH LMSW
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-8000
Mailing Address
STACEY LYNN ROTH LMSW
15018 72ND DR APT 3H
FLUSHING, NY 11367-2618
Phone number: 718-354-5725