Individual
MS. AGNES ROBL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Mailing address
447 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
6697115-3503
UT
Other
Enumeration date
07/08/2011
Last updated
12/29/2014
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