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Contact Information

JULIANA R ROBERTSON, LICSW
24760 HOSPITAL DR
RED LAKE, MN56671
 Phone: 218-679-0168
 Fax: 218-679-0187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JULIANA R ROBERTSON · (Female)

NPI Number 1194449249
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 10/03/2022
Last updated 10/03/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 27882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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