Individual
DA'VIDA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8909 KELSO DR, ESSEX, MD 21221-3113
(410) 832-6699
Mailing address
8909 KELSO DR, ESSEX, MD 21221-3113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3820
MD
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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