MEDICARE: ROBERTA SALVADOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1124731997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA SALVADOR

Provider Business Mailing Address
First Line	:	607 WICKER ST
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 WINFIELD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-5751
Country	:	US
Telephone Number	:	415-699-3952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2022
Last Update Date	:	12/26/2022

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Directions to “ ROBERTA SALVADOR ” Practice Location

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