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Individual

DISHA AMELIA ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4908 N ELSTON AVE, CHICAGO, IL 60630-2506
(773) 205-8505
Mailing address
5047 N CENTRAL PARK AVE APT 3B, CHICAGO, IL 60625-5540
(813) 300-3497

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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