Individual
MR. BOBBY RAY GILMORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
625 FAIR OAKS AVE, SUITE 300, SOUTH PASADENA, CA 91030-2630
(626) 395-7100
Mailing address
31321 THE OLD RD UNIT G, CASTAIC, CA 91384-4210
(213) 284-8009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
81333
CA
Other
Enumeration date
09/11/2007
Last updated
02/05/2018
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