Individual
MS. KIMBERLY A ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
910 E SAN MARTIN ST OFC 2, BOLIVAR, MO 65613-2893
(417) 414-0676
(844) 222-4909
Mailing address
PO BOX 1069, LEBANON, MO 65536-1069
(855) 549-4847
(844) 222-4909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023017145
MO
1041C0700X
Clinical Social Worker
33114
MN
1041C0700X
Clinical Social Worker
CSW.09929480
CO
Other
Enumeration date
03/20/2021
Last updated
04/22/2026
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