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1871168732
STACEY LYNN ROTH
JAMAICA, NY
NPI
1871168732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
STACEY LYNN ROTH LMSW
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-8000
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Mailing Address
STACEY LYNN ROTH LMSW
15018 72ND DR APT 3H
FLUSHING, NY 11367-2618
Phone number: 718-354-5725
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