Individual
JOLENE T ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2900 N RIVER RD, W LAFAYETTE, IN 47906-3744
(765) 463-2555
Mailing address
1626 STANFORTH AVE, LAFAYETTE, IN 47905-1962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003762A
IN
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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