NPI | 1932319555 |
---|---|
Other Name | ROBERT SKANE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CT lcsw002700) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000299) |
101YP2500X Counselor, Professional (Licence: CT lcsw002700) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |