Individual
KELLY SUSAN ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
20 MAPLE AVE., UNCASVILLE, CT 06382
(860) 848-3098
Mailing address
15 BECKWITH RD., OAKDALE, CT 06370
(860) 235-3511
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001170
CT
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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