Roth, Mary Ann

Roth, Mary Ann is an sole proprietor health care provider with primary practice located at E12155 Side Rd , Baraboo WI 53913-9752. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Roth, Mary Ann can be contacted via phone (608) 209-4480.

Contact Information

Primary practice address
E12155 Side Rd Baraboo WI 53913-9752
Fax: (608) 355-0527
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2800 North Carolina

Profile Details

NPI number 1033300017
LBN Legal business name Roth, Mary Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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