Individual
AUSTIN GAGE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
(330) 424-7876
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 303-9741
(330) 424-7876
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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