Individual
KIMBERLY LYNN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 SHIRLEY DR, TROY, MO 63379-6304
(636) 290-8147
Mailing address
68 SHIRLEY DR, TROY, MO 63379-6304
(636) 290-8147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019047659
MO
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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