Individual
CHRISTINE AMELIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 DOGWOOD ST, LOWELL, NC 28098-1608
(704) 747-1766
Mailing address
717 DOGWOOD ST, LOWELL, NC 28098-1608
(704) 747-1766
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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