Individual
HEATHER SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8532 MENTOR AVE, MENTOR, OH 44060-5822
(440) 205-1008
Mailing address
29957 ELGIN RD, WICKLIFFE, OH 44092-1729
(440) 520-2518
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
116895301
OH
1041C0700X
Clinical Social Worker
Primary
I.2405649
OH
Other
Enumeration date
04/18/2018
Last updated
11/27/2024
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