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Marisa Jeane Roth
School Social Worker in Latrobe, Pennsylvania
NPI 1619746930

Marisa Jeane Roth is a School Social Worker based in Ruffs Dale, PA and is specialized in School. Marisa Jeane Roth practices in Latrobe, PA. The NPI Number for Marisa Jeane Roth is 1619746930 and holds a License No. SW131045 (Pennsylvania).

The current practice location address for Marisa Jeane Roth is 1501 Ligonier St, Latrobe, PA and can be reached out via phone at 724-804-7232.

Location: 1501 Ligonier St, Latrobe, PA, 15679-1738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619746930
Provider Name
Marisa Jeane Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1501 Ligonier St, Latrobe, PA, 15679-1738
Phone Number
724-804-7232
Fax Number
Provider Enumeration Date
12/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Ligonier St
City
Latrobe
State
Pennsylvania
Zip
15650-2912
Phone Number
724-804-7232
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Ligonier St
City
Latrobe
State
Pennsylvania
Zip
15650-2912
Phone Number
724-804-7232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
SW131045 (Pennsylvania)
Definition
Definition to come...
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