JEFFREY R ROBERTSON

PORTAGE, IN
NPI1578513438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34001418A)
Enumeration Date2006-05-11
Last Update Date2007-07-08
Business Address
-- JEFFREY R ROBERTSON lcsw
6840 PRAIRIE RUN AVE
PORTAGE, IN 46368-2665
Phone number: 219-763-4767
Mailing Address
-- JEFFREY R ROBERTSON lcsw
6840 PRAIRIE RUN AVE
PORTAGE, IN 46368-2665
Phone number: 219-763-4767
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