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Individual
SEAN ROBERTS
Active
Individual
SEAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7637955-6004
UT
Other
Enumeration date
05/14/2012
Last updated
01/29/2016
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