Individual
HOLLY ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16347
WI
1041C0700X
Clinical Social Worker
Primary
132205
WI
Other
Enumeration date
10/21/2021
Last updated
10/31/2021
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