MR. Bobby Joe Leebold, L.C.S.W.
NPI #1164728127 in Bloomington, Illinois
Provider Information
- NPI Number
- 1164728127
- Entity Type
- Individual
- Name
- MR. Bobby Joe Leebold, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Feb 8, 2011
- Last Updated
- Feb 8, 2011
Practice Location
- Address
- 808 S ELDORADO RD
- Address 2
- SUITE 102
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6071
- Phone
- (309) 310-4636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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