Provider Information for 1285655316
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Ms. BETH A. BOBBITT LCSW
Sex: Female
NPI: 1285655316
Last Updated: 2023-10-26
Certification Date: 2023-10-26
Certification Date: 2023-10-26
Details
Name | Value | ||||||||
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NPI | 1285655316 | ||||||||
Enumeration Date | 2006-07-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 203 REDLANDS, CA 92373-0061 United States Phone: 909-435-6401 | Fax: | ||||||||
Primary Practice Address | 1695 S SAN JACINTO AVE STE A SAN JACINTO, CA 92583-5103 United States Phone: 951-330-3100 | Fax: | ||||||||
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