Individual
MS. JUDITH K. BOBO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
108 W KIME ST, BURLINGTON, NC 27215-3854
(336) 227-8412
(336) 227-1793
Mailing address
108 W KIME ST, BURLINGTON, NC 27215-3854
(336) 227-8412
(336) 227-1793
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313W
BLUECROO/BLUESHIELD PROVI
NC
Enumeration date
01/16/2006
Last updated
07/08/2007
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