Doctor Name: | MARJORIE ROBERSON |
NPI Number: | 1174926828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3900 Forestville Rd Forestville, MD - 207474715 |
Business Phone Number: | 2402966060 |
Business Fax Number: | |
Mailing Address: | 1318 27th St Se Apt 4, WASHINGTON |
State: | DC |
Postal Code: | 200203659 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |