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Individual

OLGA IMELDA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
12915 JONES MALTSBERGER RD STE 425, SAN ANTONIO, TX 78247-4256
(210) 383-7780
(210) 569-6367
Mailing address
19216 TRAILVIEW, SAN ANTONIO, TX 78258-4027
(210) 383-7780
(210) 569-6367

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202503
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202503
TEXAS STATE LICENSE
TX
Enumeration date
06/14/2017
Last updated
06/16/2018
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