Justin Philip Roth

NPI #1376372292 in Huntington Woods, Michigan

Provider Information

NPI Number
1376372292
Entity Type
Individual
Name
Justin Philip Roth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jul 30, 2024
Last Updated
Jul 30, 2024

Practice Location

Address
26711 WOODWARD AVE
ZIP Code
48070-1333
Phone
(312) 624-9815

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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