Individual
MR. BOBBY RAY LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-5061
Mailing address
2900 SW 13TH ST, LEES SUMMIT, MO 64081-3800
(816) 399-4941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1440-C
AR
Other
Enumeration date
03/21/2006
Last updated
10/16/2020
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