Individual
MICHELLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(888) 949-4864
Mailing address
4236 W 3175 S, WEST VALLEY CITY, UT 84120-1923
(801) 361-5224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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