Individual
MIA J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W NORTHERN AVE STE 101, PHOENIX, AZ 85021-5400
(602) 254-9701
(602) 755-1544
Mailing address
1717 W NORTHERN AVE STE 101, PHOENIX, AZ 85021-5400
(602) 254-9701
(602) 755-1544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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