Amanda Colleen Roth

NPI #1861032724 in Cody, Wyoming

Provider Information

NPI Number
1861032724
Entity Type
Individual
Name
Amanda Colleen Roth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 8, 2020
Last Updated
Jan 21, 2023

Practice Location

Address
956 12TH ST
City
Cody
State
Wyoming
ZIP Code
82414-3602
Phone
(307) 751-5111

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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