Individual
MRS. CHANTELLE MARIE ROBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1651 W CENTRE AVE STE 209, PORTAGE, MI 49024-5321
(269) 366-0650
Mailing address
6322 TROTWOOD ST, PORTAGE, MI 49024-3251
(616) 402-0364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801082669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356361521
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/20/2006
Last updated
03/27/2018
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