Individual
ALICE FISHER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, CST
Contact information
Practice address
25 S MAIN ST STE 100, CENTERVILLE, UT 84014-1846
(801) 872-8862
Mailing address
535 N 100 E, CENTERVILLE, UT 84014-1876
(801) 296-2425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10496970-3501
UT
1041C0700X
Clinical Social Worker
41052
ID
Other
Enumeration date
12/01/2023
Last updated
07/25/2024
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