Individual
LESLIE KIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
805 S CARMEL ST, CADILLAC, MI 49601-2344
(231) 775-6517
Mailing address
805 S CARMEL ST, CADILLAC, MI 49601-2344
(231) 775-6517
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361004623
MI
Other
Enumeration date
11/04/2014
Last updated
09/10/2021
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