Kim Roth

NPI #1861701328 in Auburn, Maine

Provider Information

NPI Number: 1861701328
Entity Type: Individual
Name: Kim Roth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Enumeration Date: Oct 1, 2010
Last Updated: Oct 1, 2010

Practice Location

Address: 89 PARTRIDGE LN
City: Auburn
State: Maine
ZIP Code: 04210-8636
Phone: (207) 784-7738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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