Individual
MARILYN J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
915 E 53RD ST N, PARK CITY, KS 67219-2611
(316) 677-6746
Mailing address
915 E 53RD ST N, PARK CITY, KS 67219-2611
(316) 677-6746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6657
KS
104100000X
Social Worker
Primary
6910
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013090489
—
KS
Enumeration date
06/15/2007
Last updated
02/21/2025
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