# SALLY R TOBIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922393685
- **Gender:** F
- **Credential:** LICSW, LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2386 | ND | Yes |
| 1041C0700X | Clinical Social Worker | 24962 | MN | — |
| 106H00000X | Marriage & Family Therapist | 20090029 | ND | — |

## Other

- **Enumeration date:** 06/10/2011
- **Last updated:** 03/17/2018