Individual
MR. JAMES ANTHONY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
132 OLD LOUVALE RD, CUSSETA, GA 31805-3908
(706) 580-1204
Mailing address
132 OLD LOUVALE RD, CUSSETA, GA 31805-3908
(706) 580-1204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW009835
GA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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