Individual
DAVIELLE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 AMBASSADOR CAFFREY PARKWAY, BLDG 11, SUITE #2, LAFAYETTE, LA 70508
(337) 417-9260
Mailing address
5000 AMBASSADOR CAFFREY PARKWAY, BLDG 11, SUITE #2, LAFAYETTE, LA 70508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13488
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2019
Last updated
12/20/2022
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