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Organization

ANTHONY DWIGHT BOBO, SR

Active
Other names
ANTHONY DWIGHT BOBO, SR
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY DWIGHT BOBO SR. PH.D. (OWNER)
(133) 057-3472
Entity
Organization

Contact information

Practice address
7501 OKEECHOBEE CT, TEMPLE TERR, FL 33637-7345
(330) 573-4722
Mailing address
7501 OKEECHOBEE CT, TEMPLE TERR, FL 33637-7345
(330) 573-4722

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
03/09/2022
Last updated
03/09/2022
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