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Individual

MISS ELAINE C ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASAC-T

Contact information

Practice address
245 W 123RD ST APT 4, NEW YORK, NY 10027-5416
(212) 678-0267
(212) 678-0267
Mailing address
245 WEST 123RD STREET, APT 4, NEW YORK, NY 10027
(212) 678-0267

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25061
NY

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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