Female

Ms. Randy F. Roberts L.I.C.S.W.

Clinical Social Worker in Puyallup, WA(View on Map)

Full Name

Ms. Randy Faith Roberts L.I.C.S.W.

NPI Number

1497007827

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/09/2012

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW00009490

Contact
Information

Purpose

Mailing
Location

Address

6303 155TH STREET CT E
6303 155TH STREET CT E

City

Puyallup
Puyallup

State

WA
WA

Postal Code

98375-7495
98375-7495

Country

US
US

Telephone Number

(253) 226-4056
(253) 226-4056

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/09/2012

Provider Address

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