MR. William Russell Bott, MSW

NPI #1972699445 in Peoria, Illinois

Provider Information

NPI Number: 1972699445
Entity Type: Individual
Name: MR. William Russell Bott, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 411 MARTIN LUTHER KING JR DR
City: Peoria
State: Illinois
ZIP Code: 61605
Phone: (309) 497-0790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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