Individual
RACHAEL ROBERTS
Active
Individual
RACHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8.004286
CT
1041C0700X
Clinical Social Worker
089.0127747
VT
Other
Enumeration date
04/23/2017
Last updated
09/09/2022
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