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1114050259
LARRY FRED BOTTIN
KANSAS CITY, MO
NPI
1114050259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2007000615)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mr. LARRY FRED BOTTIN MSW LICSW
4801 LINWOOD BOULEVARD
KANSAS CITY, MO 64128
Phone number: 816-861-4700
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Mailing Address
Mr. LARRY FRED BOTTIN MSW LICSW
13008 W 102ND TERRACE
LENEXA, KS 62215
Phone number: 913-307-0155
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