Individual
JOEL ANTHONY BOBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W. L.I.C.S.W
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1092
(507) 434-1477
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1092
(507) 434-1477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17219
MN
1041C0700X
Clinical Social Worker
LP17219
MN
Other
Enumeration date
12/20/2005
Last updated
09/28/2020
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