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Individual
MR. JIM N HIBBARD
Active
Individual
MR. JIM N HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-34035
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-34035
LMSW
ID
Enumeration date
02/06/2015
Last updated
02/06/2015
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