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1912590340
JOEL TIMOTHY ROTH
ESCONDIDO, CA
NPI
1912590340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 370009AN)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
JOEL TIMOTHY ROTH
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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Mailing Address
JOEL TIMOTHY ROTH
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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