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1982444048
DANIEL STEPHEN ROTH
HERNDON, VA
NPI
1982444048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-28
Last Update Date
2024-06-06
Business Address
DANIEL STEPHEN ROTH MA, CBIS
2579 JOHN MILTON DR
HERNDON, VA 20171-2563
Phone number: 703-214-4924
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Mailing Address
DANIEL STEPHEN ROTH MA, CBIS
1549 INLET CT
RESTON, VA 20190-4423
Phone number: 301-466-5503
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