Individual
RONALD WAYNE BOTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
5040 BOB BILLINGS PKWY, LAWRENCE, KS 66049-3873
(785) 393-2154
Mailing address
PO BOX 371, TONGANOXIE, KS 66086-0371
(785) 393-2154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010
KS
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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