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1902956501
CHARLES P ROTH
MALVERN, PA
NPI
1902956501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS-004849-L)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
Dr. CHARLES P ROTH Ph.D.
412 E KING ST
MALVERN, PA 19355-3004
Phone number: 610-647-8730
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Mailing Address
Dr. CHARLES P ROTH Ph.D.
412 E KING ST
MALVERN, PA 19355-3004
Phone number: 610-647-8730
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