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Individual
SHANA NOELL ROBERTS
Active
Individual
SHANA NOELL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26994
NC
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
P016523
NC
Other
Enumeration date
06/14/2021
Last updated
07/22/2021
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