Individual
BOBI LYN SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 WASHINGTON AVENUE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
1418 1ST AVE, WAUBUN, MN 56589-4112
(218) 473-2159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21711
MN
Other
Enumeration date
08/03/2016
Last updated
12/19/2018
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