Provider Information for 1639501364
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CARLEEN A ROBERTS LMSW
Sex: Female
NPI: 1639501364
Last Updated: 2023-06-16
Certification Date: 2023-06-16
Certification Date: 2023-06-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639501364 | ||||||||||||
| Enumeration Date | 2013-08-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 200 MAINE ST STE A LAWRENCE, KS 66044-1396 United States Phone: 785-843-9192 | Fax: | ||||||||||||
| Primary Practice Address | 200 MAINE ST STE A LAWRENCE, KS 66044-1396 United States Phone: 785-576-4280 | Fax: | ||||||||||||
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