Individual
TAMMI JO ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 436-8360
Mailing address
324 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 436-8360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
KY
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
12/28/2022
Last updated
05/12/2023
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