Glenn Howard Tobey, LICSW
Social Worker, Clinical in Duluth, MN. Individual provider (NPI-1).
NPI number1013125855
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1013125855
- Entity type
- Individual (NPI-1)
- Name
- Glenn Howard Tobey
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LICSW512 | MN | Yes |
Practice location
17 1/2 N Lake Ave Rm 201Duluth, MN 55802-2018
Phone 218-740-4389 · Fax 218-740-4389
Mailing address
3815 E 3rd StDuluth, MN 55804-1829
Phone 218-343-6213 · Fax 218-740-4389
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