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Individual

MS. DENITA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7950 FAIRCHILD AVE, WINNETKA, CA 91306-2009
(323) 423-5858
Mailing address
7950 FAIRCHILD AVE, WINNETKA, CA 91306-2009
(323) 423-5858

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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