Individual
ROBIN LYNN BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
803 E SOUTH ST, ALBANY, MO 64402-1457
(660) 726-5756
Mailing address
803 E SOUTH ST, ALBANY, MO 64402-1457
(660) 726-5756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005030693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497181602
—
MO
Enumeration date
04/20/2007
Last updated
01/20/2009
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