Lillie Elaine Roberts

NPI #1598656340 in Kennett, Missouri

Provider Information

NPI Number: 1598656340
Entity Type: Individual
Name: Lillie Elaine Roberts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 10, 2025
Last Updated: Jul 10, 2025

Practice Location

Address: 1073 JONES ST
City: Kennett
State: Missouri
ZIP Code: 63857-3866
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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