Individual
SHELLIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Mailing address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3503
(606) 318-3503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100519750
—
KY
Enumeration date
10/30/2015
Last updated
05/07/2018
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