Individual
KELLY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2520 HAMPTON RD STE 18, ERIE, PA 16502-2073
(814) 812-5491
Mailing address
5734 HOME RD, ERIE, PA 16509-3233
(814) 812-5491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW0196514
PA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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