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Individual

JASON ALAN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
920 FREDERICA ST, SUITE 308, OWENSBORO, KY 42301-3050
(270) 689-0073
Mailing address
5418 US HIGHWAY 60 W, OWENSBORO, KY 42301-8400
(270) 313-3885

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3404
KY

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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