Individual
MR. BOBBY L TINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
209 N BROAD ST, NEW ORLEANS, LA 70119-5507
(504) 655-0609
Mailing address
PO BOX 15038, NEW ORLEANS, LA 70175-5038
(504) 330-0376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11490
LA
Other
Enumeration date
07/10/2014
Last updated
04/12/2016
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