Individual
MISS KIRBY L BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
200 N 12TH ST, NEW CASTLE, IN 47362-4507
(765) 388-2671
Mailing address
1901 S PARK RD APT H101, KOKOMO, IN 46902-6149
(765) 667-8594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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