Individual
DENNIS CLYDE BOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8160 TITLEIST DR, PINEVILLE, LA 71360-2636
(318) 623-2263
(866) 217-6061
Mailing address
8160 TITLEIST DR, PINEVILLE, LA 71360-2636
(318) 623-2263
(866) 217-6061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1097
LA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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