Individual
RENO JAMES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Mailing address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW009179
GA
1041C0700X
Clinical Social Worker
Primary
CSW008457
GA
1041C0700X
Clinical Social Worker
MSW009179
GA
Other
Enumeration date
05/11/2020
Last updated
02/09/2023
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