Fish, Roberta Marie

Fish, Roberta Marie is an individual health care provider with primary practice located at 1642 N Volusia Ave Suite 203, Orange City FL 32763-3842. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fish, Roberta Marie can be contacted via phone (386) 456-0008.

Contact Information

Primary practice address
1642 N Volusia Ave Suite 203 Orange City FL 32763-3842
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6448 Florida

Profile Details

NPI number 1376819334
LBN Legal business name Fish, Roberta Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Mar 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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