Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker |
NPI | 1992858898 |
---|---|
Provider Name | Cindy House Roberts |
First Address | St Petersburg, FL 33710-3750 |
Second Address | St Petersburg, FL 33701-4820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 09/07/2007 |