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Individual

DEANNA BIBBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2502 BROADWAY AVE SW UPPR LEVEL, ROANOKE, VA 24014-1663
(540) 860-4945
Mailing address
6219 CRUMPACKER DR, ROANOKE, VA 24012-8827
(540) 761-1623

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008313
VA

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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