Individual
ELYSE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
928 JAYMOR RD STE B150, SOUTHAMPTON, PA 18966-3853
(215) 947-8654
Mailing address
805 E MERMAID LN, WYNDMOOR, PA 19038-8016
(215) 439-8046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022293
PA
Other
Enumeration date
04/28/2021
Last updated
02/28/2024
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