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Individual
MRS. ROBERTA ALLEN
Active
Individual
MRS. ROBERTA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014606
VA
1041C0700X
Clinical Social Worker
149.015417
IL
1041C0700X
Clinical Social Worker
I.2203986
OH
Other
Enumeration date
08/15/2012
Last updated
02/08/2024
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