Individual
JACKIE C ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3528 ANTIOCH RD, CEDARTOWN, GA 30125-5910
(770) 748-2010
Mailing address
3528 ANTIOCH RD, CEDARTOWN, GA 30125-5910
(770) 748-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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