| NPI | 1235551011 |
|---|---|
| Professional Name | TIM L KOBERLEIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33359) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2019-05-14 |