Stacey Dianne Robertson, LCSW

NPI #1265101653 in Broadview, Illinois

Provider Information

NPI Number: 1265101653
Entity Type: Individual
Name: Stacey Dianne Robertson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 8, 2021
Last Updated: Sep 8, 2021

Practice Location

Address: 2345 S 19TH AVE
City: Broadview
State: Illinois
ZIP Code: 60155-3933
Phone: (708) 752-6965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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