Individual
MARY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Mailing address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1603C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 38765
BLUE CROSS
AL
Enumeration date
05/24/2006
Last updated
02/12/2013
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