Individual
ALICIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2607 VINEVILLE AVE STE 101, MACON, GA 31204-0900
(478) 952-9789
Mailing address
5235 BOWMAN RD APT 105, MACON, GA 31210-1257
(478) 952-9789
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001709
GA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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