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NPI Code Detail

MEDICARE: MS. DANNIELLE D ROBERTSON L.M.S.W.

MEDICARE: MS. DANNIELLE D ROBERTSON L.M.S.W.
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
1104100000XSocial Worker50603TX
21041C0700XClinical Social Worker50603TX

General Provider Information

NPI Number : 1437278983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANNIELLE D ROBERTSON L.M.S.W.
Provider Business Mailing Address
First Line : 14107 DUNCAN LN
Second Line :
City : CONROE
State : TX
Zip : 77302-4533
Country : US
Telephone Number : 832-428-8290
Fax Number :
Provider Business Practice Location Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number : 832-241-2902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/07/2024

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