Individual
MR. GEORGE T. BOTBYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMSW
Contact information
Practice address
1100 LUDINGTON ST, ESCANABA, MI 49829-3542
(906) 233-1554
Mailing address
7307 LAKE BLUFF, GLADSTONE, MI 49837
(906) 428-4332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801058201
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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