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1881638690
MARK R ROTH
INDIANAPOLIS, IN
NPI
1881638690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20010291)
Enumeration Date
2006-06-15
Last Update Date
2014-11-24
Business Address
-- MARK R ROTH PHD, HSPP
333 N ALABAMA ST SUITE 350
INDIANAPOLIS, IN 46204-2034
Phone number: 317-459-6755
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Mailing Address
-- MARK R ROTH PHD, HSPP
4000 W 106TH ST STE 125-125
CARMEL, IN 46032-7720
Phone number: 317-459-6755
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