Individual
COURTNEY KELLEY ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1810 REVERE RD, WATERFORD, MI 48328-1418
(248) 882-7299
Mailing address
1810 REVERE RD, WATERFORD, MI 48328-1418
(248) 882-7299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801107169
MI
1041C0700X
Clinical Social Worker
Primary
6801117955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58326941
—
MI
Enumeration date
12/08/2020
Last updated
03/18/2024
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