Individual
ABIGAIL VIOLA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
374 E WOODLAKE DR APT 111, MILLCREEK, UT 84107-1659
(406) 690-0021
Mailing address
374 E WOODLAKE DR APT 111, MILLCREEK, UT 84107-1659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12312619-3502
UT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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