Individual
HENRY EARL ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 8TH ST, AUGUSTA, GA 30901-1310
(770) 944-7280
(770) 944-9518
Mailing address
PO BOX 1821, MABLETON, GA 30126-1013
(770) 944-7280
(770) 944-9518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001776
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153556A
—
GA
Enumeration date
03/27/2015
Last updated
03/27/2015
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