MRS. Jennifer L Robertson, LCSW

NPI #1558884692 in Mountain Home Afb, Idaho

Provider Information

NPI Number: 1558884692
Entity Type: Individual
Name: MRS. Jennifer L Robertson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 20, 2017
Last Updated: May 12, 2022

Practice Location

Address: 90 HOPE DR BLDG 6000
City: Mountain Home Afb
State: Idaho
ZIP Code: 83648-1062
Phone: (208) 828-7623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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