Individual
BARBARA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 KNOLLWOOD DR, SUITE 6, CANTERBURY, CT 06331-1470
(860) 546-9511
Mailing address
1 KNOLLWOOD DR, SUITE 6, CANTERBURY, CT 06331-1470
(860) 546-9511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007467
CT
1041C0700X
Clinical Social Worker
077518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031064
—
CT
Enumeration date
04/21/2011
Last updated
10/23/2014
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