Gary Roth

NPI #1629407853 in Elizabeth, Colorado

Provider Information

NPI Number: 1629407853
Entity Type: Individual
Name: Gary Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 650 E. WALNUT
Address 2: UNIT C
City: Elizabeth
State: Colorado
ZIP Code: 80107
Phone: (303) 646-4519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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