Individual
MRS. KATHERINE MICHELLE SIBBALUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 MCKENNANS CHURCH RD, WILMINGTON, DE 19808-1327
(302) 636-5330
Mailing address
301 MCKENNANS CHURCH RD, WILMINGTON, DE 19808-1327
(302) 636-5330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001033
DE
Other
Enumeration date
02/08/2011
Last updated
10/03/2013
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