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Individual

KATHRYN J ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
31710 COURTLAND ST, SAINT CLAIR SHORES, MI 48082-1227
(586) 588-1511
Mailing address
31710 COURTLAND ST, SAINT CLAIR SHORES, MI 48082-1227
(586) 588-1511

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451013148
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500371
MI
Enumeration date
08/13/2008
Last updated
10/06/2025
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