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1912286766
IDIT ROTH
AGOURA HILLS, CA
NPI
1912286766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 36086)
Enumeration Date
2011-08-11
Last Update Date
2011-08-11
Business Address
-- IDIT ROTH MFT
30497 CANWOOD ST SUITE 103
AGOURA HILLS, CA 91301-4330
Phone number: 818-597-2617
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Mailing Address
-- IDIT ROTH MFT
30497 CANWOOD ST SUITE 103
AGOURA HILLS, CA 91301-4330
Phone number: 818-597-2617
Copy
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