Marlo Robertson's National Provider Identifier (NPI) Details
Marlo Robertson, LCSW
NPI: 1497182646
Enumeration Date: 2013-10-02
Last updated: 2022-06-13
Sole Proprietor: NO
Status: active
Postal Address: 645 W CLARK ST, POCATELLO, ID
Phone: 208-234-9361
Primary Practice Address: 210 W BURNSIDE AVE STE A, CHUBBUCK, ID
Practice's phone: 208-238-9000