Individual
LISA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 REGAL DR SW, HUNTSVILLE, AL 35801-6516
(256) 508-4473
Mailing address
7115 JUMP ST SE, OWENS CROSS ROADS, AL 35763-9058
(256) 508-4473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4113C
AL
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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