Individual
DWIGHT ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 DEL RIO PL, LOUISVILLE, KY 40220-2340
(502) 802-4287
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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