Individual
MS. ELIZABETH JEANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11361 N. 99TH AVENUE, SUITE 106, PEORIA, AZ 85345-5469
(623) 487-7763
(623) 486-8276
Mailing address
11361 N. 99TH AVENUE, SUITE 106, PEORIA, AZ 85345-5469
(623) 487-7763
(623) 486-8276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11624
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940058
—
AZ
Enumeration date
10/04/2006
Last updated
07/09/2007
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