Individual
KAITLYN MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6000 S 1075 E, OGDEN, UT 84405-4945
(410) 429-9906
Mailing address
2909 STONEWOOD ST NW, GRAND RAPIDS, MI 49504-8003
(616) 822-2121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14240762-3502
UT
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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