Charlene Jean Roth
Psychiatric at 0480 East 125, Lagrange, IN

License number
Colorado 8529
Issued Date
Oct 4, 2004
Renew Date
Jul 1, 2005
Expiration Date
Jun 30, 2007
Type
Registered Psychotherapist
Address
Address
0480 East 125 S, Lagrange, IN 46761
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.