Individual
MRS. PAMELA SUE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
134 MAIN ST, SETAUKET, NY 11733-2833
(631) 730-4600
Mailing address
32 JEFFERSON LANDING CIR, PORT JEFFERSON, NY 11777-1989
(631) 474-3285
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
052586
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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