Provider Demographics
NPI:1710055157
Name:HUIE, ROBERTO J JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:J
Last Name:HUIE
Suffix:JR
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:7946 GALLOPING CIR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1279
Mailing Address - Country:US
Mailing Address - Phone:410-265-5130
Mailing Address - Fax:410-265-6808
Practice Address - Street 1:5300 DORSEY HALL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7791
Practice Address - Country:US
Practice Address - Phone:410-265-5130
Practice Address - Fax:410-265-6808
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD081381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical