Individual
MS. DANA NICCOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 S NEW HOPE RD, GASTONIA, NC 28054-5829
(704) 884-2501
Mailing address
101 DEERTRACK DR, MOUNT HOLLY, NC 28120-9423
(704) 822-0938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003771
—
NC
Enumeration date
11/30/2006
Last updated
07/08/2007
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