Kelly Susan Roberge LMFT

NPI 1730301011 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1730301011
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20 MAPLE AVE.
UNCASVILLE CT, 06382, US
Phone (860) 848-3098
Fax
Business Location
15 BECKWITH RD.
OAKDALE CT, 06370, US
Phone (860) 235-3511
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Connecticut
License Number 001170
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According to our database, Kelly Susan Roberge LMFT NPI is 1730301011, taxonomy code is 106H00000X and license number is 001170, license state is located at Connecticut. Kelly Susan Roberge LMFT physically located at 20 Maple Ave., Uncasville CT, 06382. NPI Number Kelly Susan Roberge LMFT has the Individual type.

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1730301011 NPI number is provided on an as is basis without warranty of any kind. 1730301011 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Susan Roberge LMFT are for informational purposes only.