Individual
LILA L ROBERTS-BIRD DBA LIBERTY COUNSELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
315 E JEFFERSON ST, WAUPUN, WI 53963-2032
(920) 210-7181
(920) 324-5700
Mailing address
141 W HURON ST, BERLIN, WI 54923-1545
(920) 210-7181
(920) 361-2334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1827-123
WI
106H00000X
Marriage & Family Therapist
448-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39637200
—
WI
Enumeration date
12/21/2006
Last updated
08/28/2008
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