Individual
AMY ELIZABETH BIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 NASSAU ST STE 111, PRINCETON, NJ 08542
(484) 538-5243
Mailing address
191 LAKESIDE RD, ARDMORE, PA 19003-3207
(484) 538-5243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16643
MD
1041C0700X
Clinical Social Worker
Primary
44SC00161300
NJ
Other
Enumeration date
05/13/2011
Last updated
06/14/2018
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