Individual
AMY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Mailing address
350 SALEM RD, SUITE 1, CONWAY, AR 72034-7525
(501) 336-8300
(501) 329-5508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0907080
AR
Other
Enumeration date
09/01/2009
Last updated
07/23/2010
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