NPI | 1073745451 |
---|---|
Other Name | BOBBY HEARD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-08189) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0111741) |
1041C0700X Social Worker Clinical (Licence: NM I-08189) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2018-11-08 |