WILLIAM RUSSELL BOTT

PEORIA, IL
NPI1972699445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Mr. WILLIAM RUSSELL BOTT MSW
411 MARTIN LUTHER KING JR DR
PEORIA, IL 61605
Phone number: 309-497-0790
Mailing Address
Mr. WILLIAM RUSSELL BOTT MSW
3 SHERRY ST
MACKINAW, IL 61755
Phone number: 309-497-0790
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