Individual
JENNIFER ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 KINGS DR, MONACA, PA 15061-2541
(724) 683-0292
Mailing address
157 KINGS DR, MONACA, PA 15061-2541
(724) 683-0292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SS124260
PA
104100000X
Social Worker
SW124260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0806200902152011
HEALTH CARE PROVIDER
PA
05
—
0806200902152011
—
PA
Enumeration date
01/24/2019
Last updated
01/24/2019
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