MR. Darrell Dewayne Robertson

NPI #1982997599 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1982997599
Entity Type: Individual
Name: MR. Darrell Dewayne Robertson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 16, 2011
Last Updated: May 16, 2011

Practice Location

Address: 2725 N WESTWOOD BLVD
Address 2: STE.5A
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-2346
Phone: (573) 785-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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