Individual
MISS LULA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BUCKSTON TRACE LN, LEESBURG, GA 31763-3276
(229) 733-3571
Mailing address
133 BUCKSTON TRACE LN, LEESBURG, GA 31763-3276
(229) 733-3571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
006590
GA
104100000X
Social Worker
Primary
MSW006590
GA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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