Robert Lynn Desoto LCSW, BCD

NPI 1174688733 - Social Worker - 1041C0700X

NPI Details
NPI 1174688733
Gender Male
Enumeration Date 12/26/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
925 CONFERENCE DR
GREENVILLE NC, 27858-5971, US
Phone (252) 756-4899
Fax (252) 756-5141
Business Location
2070 MARES WAY
GREENVILLE NC, 27858-7940, US
Phone (252) 355-0160
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C000514
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According to our database, Robert Lynn Desoto LCSW, BCD NPI is 1174688733, taxonomy code is 1041C0700X and license number is C000514, license state is located at North Carolina. Robert Lynn Desoto LCSW, BCD physically located at 925 Conference Dr, Greenville NC, 27858-5971. NPI Number Robert Lynn Desoto LCSW, BCD has the Individual type.

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1174688733 NPI number is provided on an as is basis without warranty of any kind. 1174688733 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Lynn Desoto LCSW, BCD are for informational purposes only.