Mr. LARRY FRED BOTTIN -- MSW LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1114050259- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW LICSW
- Status
- Active
Contact & Location
- Address
- 4801 LINWOOD BOULEVARD, KANSAS CITY, MO, 64128
- Phone
- (816) 861-4700
- Fax
- (816) 922-3317
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MO #2007000615