Individual
MORGAN BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11165 ZEALAND AVE N, CHAMPLIN, MN 55316-3595
(612) 584-0966
Mailing address
11165 ZEALAND AVE N, CHAMPLIN, MN 55316-3595
(763) 531-0566
(763) 531-0602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6774
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2020
Last updated
02/13/2025
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