Individual
DANIELLE MONIQUE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
Mailing address
4104 DELTA ST, SAN DIEGO, CA 92113-4113
(619) 264-0141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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