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NPI Code Detail

MEDICARE: DUJANA ROBERTS MA

MEDICARE: DUJANA ROBERTS MA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1417212689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUJANA ROBERTS MA
Provider Business Mailing Address
First Line : 2710 KENSINGTON DR
Second Line :
City : SAGINAW
State : MI
Zip : 48601-4520
Country : US
Telephone Number : 989-607-6064
Fax Number : 989-781-5422
Provider Business Practice Location Address
First Line : 3400 S WASHINGTON RD
Second Line :
City : SAGINAW
State : MI
Zip : 48601-4958
Country : US
Telephone Number : 989-755-1072
Fax Number : 989-755-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 08/01/2012

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Directions to “ DUJANA ROBERTS MA” Practice Location

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