Individual
MS. HOLLY PATRICE MOBBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
301 4TH AVE S, SUITE 780N, MC L605, MINNEAPOLIS, MN 55415-1015
(612) 596-8473
Mailing address
1443 EASTLAKE DR, CHASKA, MN 55318-1326
(612) 214-6357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15632
MN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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