Individual
MS. ANNE LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CASAC NBCCH MA
Contact information
Practice address
44 PINE CREST LN, SAG HARBOR, NY 11963-2718
(917) 520-1508
Mailing address
44 PINE CREST LN, SAG HARBOR, NY 11963-2718
(917) 520-1508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
886496186
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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