Individual
MS. JOENINE ELENA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W., L.P.
Contact information
Practice address
168 W 86TH ST, SUITE 1C, NEW YORK, NY 10024-4022
(212) 595-0453
Mailing address
622 W 114TH ST, APT 54, NEW YORK, NY 10025-7973
(917) 359-3650
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
L.P. # 000255-1
NY
1041C0700X
Clinical Social Worker
L.M.S.W. # 044-120
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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