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MRS. ANN VIRGINIA HOBBICK LADC BCCR

Behavioral Health & Social Service Providers Psychologist Addiction (Substance Use Disorder)

Provider NPI: 1235240284

Provider Information:
MRS. ANN VIRGINIA HOBBICK LADC BCCR
Gender: F
Not Sole Proprietor

Practice Location:
7590 LYRIC LANE NE UNITY HOSPTIAL FRIDLEY, MN 55432 US
Tel: 763-236-4375  Fax: 762-236-4370

Business Mailing Address:
203 WASHINGTON STREET  ANOKA, MN 55303 US
Tel: 763-323-3394  Fax: --

NPI Information:
NPI: 1235240284
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TA0400XBehavioral Health & Social Service Providers
Psychologist
Addiction (Substance Use Disorder)
MN300771

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103TA0400X

Type:

Classification:



Definition:



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