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Individual
TYNESHA ROBERTS
Active
Individual
TYNESHA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10655929-3502
UT
1041C0700X
Clinical Social Worker
Primary
10655929-3501
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/04/2015
Last updated
06/03/2026
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