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Individual
DAYLEN CECIL ROBERTS
Active
Individual
DAYLEN CECIL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCDS-R1003301852
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSCR1003301852
CA
1041C0700X
Clinical Social Worker
Primary
107044
CA
1041C0700X
Clinical Social Worker
ASW87243
CA
Other
Enumeration date
09/30/2013
Last updated
11/10/2022
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