Individual
KAYLEEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W 1ST ST, WAYNE, NE 68787-1616
(402) 369-3574
Mailing address
405 MAIN ST, CARROLL, NE 68723-8012
(402) 369-3574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99202397
NE
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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