Individual
SALLY R TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMFT
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 442-2837
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2386
ND
1041C0700X
Clinical Social Worker
24962
MN
106H00000X
Marriage & Family Therapist
20090029
ND
Other
Enumeration date
06/10/2011
Last updated
03/17/2018
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