Individual
MELISSA JEAN BIBBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
10208 E 100TH PL N, OWASSO, OK 74055-7405
(603) 303-1044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
11/30/2015
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