Individual
MRS. RACHEL FARRON ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-8214
Mailing address
12270 MARTY STUART DR, PHILADELPHIA, MS 39350-8947
(601) 562-0399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8377
MS
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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