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Individual
VALERIE N. ROBERTS
Active
Individual
VALERIE N. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149015740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400356991
MEDICARE PTAN
IL
Enumeration date
08/29/2012
Last updated
09/07/2018
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