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Individual

ERICA HIBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5681 S REDWOOD RD, # 24, TAYLORSVILLE, UT 84123-5415
(801) 859-4274
Mailing address
5681 S REDWOOD RD, # 24, TAYLORSVILLE, UT 84123-5415

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
98326583502
UT

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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