Individual
TERICE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 MOWBRAY CT, HENDERSON, NV 89074-2940
(917) 359-9953
Mailing address
1618 MOWBRAY CT, HENDERSON, NV 89074-2940
(917) 359-9953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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