Individual
MRS. BRENDA LEA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00008852
WA
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2043068
—
WA
Enumeration date
05/15/2006
Last updated
05/09/2019
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