Individual
MRS. ELIZABETH S. ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 DOGWOOD TRL, TYRONE, GA 30290-2916
(770) 722-9158
(770) 463-1362
Mailing address
PO BOX 640, TYRONE, GA 30290-0640
(770) 722-9158
(770) 463-1362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005597
GA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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