Individual
GENEVA R ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCSWC LICSW
Contact information
Practice address
659 A MAIN STREET, LAUREL, MD 20707
(301) 490-0550
(301) 490-9758
Mailing address
27 AVENTURA COURT, RANDALLSTOWN, MD 21133
(410) 922-4475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10512
MD
1041C0700X
Clinical Social Worker
LC301707
DC
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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