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Individual

SIGNE BOBBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8675 VALLEY CREEK ROAD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2455 HAMPSHIRE CT, MENDOTA HEIGHTS, MN 55120-1900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3943
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
820483700
MEDICAL ASSISTANCE
MN
Enumeration date
11/22/2006
Last updated
01/22/2009
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