Organization
JEFFREY R ROBERTSON INC
Active
Organization
JEFFREY R ROBERTSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY R ROBERTSON LCSW (LCSW)
(219) 763-4767
Entity
Organization
Contact information
Practice address
6840 PRAIRIE RUN AVE, PORTAGE, IN 46368-2665
(219) 763-4767
Mailing address
6840 PRAIRIE RUN AVE, PORTAGE, IN 46368-2665
(219) 763-4767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34001418A
IN
Other
Enumeration date
10/08/2008
Last updated
02/03/2009
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