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Individual

BONI-LOU TAMARA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC II

Contact information

Practice address
2402 TIFT AVE N STE 202, TIFTON, GA 31794-1885
(229) 382-7898
(229) 386-5818
Mailing address
2503 CANTERBURY CT APT N15, ALBANY, GA 31707-6636
(229) 344-7392

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0907
GA

Other

Enumeration date
03/19/2018
Last updated
03/19/2018
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