Individual
COURTNEY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 581-9122
Mailing address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 581-9122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126612
PA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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