Individual
MRS. SUSAN K ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,L.M.F.T.
Contact information
Practice address
2326 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 739-0791
(706) 739-0150
Mailing address
2326 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 739-0791
(706) 739-0150
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000694
MFT LICENSE NUMBER
GA
Enumeration date
07/31/2006
Last updated
07/08/2007
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