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Individual
HIEDI L ROBERTS
Active
Individual
HIEDI L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-PIP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2359
SD
1041C0700X
Clinical Social Worker
Primary
3112
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285967745
DAKOTACARE
—
05
—
1285967745
—
MN
05
—
1285967745
—
SD
Enumeration date
09/15/2009
Last updated
08/23/2012
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