| Bobby West | |
|
1145 Executive Cir Suite D Cary NC 27511-4586 | |
| (919) 395-4614 | |
| (919) 882-8109 |
| Full Name | Bobby West |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1145 Executive Cir, Cary, North Carolina |
| Authorized Official Name and Position | Bobby Newell West (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9193954614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby West 1145 Executive Cir Ste D Cary NC 27511-4586 Ph: (919) 395-4614 | Bobby West 1145 Executive Cir Suite D Cary NC 27511-4586 Ph: (919) 395-4614 |
| NPI Number | 1972899532 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 01/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972899532 | NPI | - | NPPES |
| 6003511 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004444 (North Carolina) | Primary |
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