Individual
MR. ROBERT FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8935
Mailing address
113 N HAMILTON ST, P.O. BOX 2530, GARY, IN 46403-1943
(219) 614-5263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002037A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34002037A
CLINICAL SOCIAL WORKER LI
IN
Enumeration date
10/17/2006
Last updated
07/08/2007
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