| Doctor Name: | JERILYN JEAN ROEBLING |
| NPI Number: | 1427294636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801016292 |
| Business Practice Address: | 3285 122nd Ave Allegan, MI - 490109511 |
| Business Phone Number: | 8007956617 |
| Business Fax Number: | |
| Mailing Address: | 49463 Red Arrow Hwy, LAWRENCE |
| State: | MI |
| Postal Code: | 490648706 |
| Phone Number: | 2696743186 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801016292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |