Individual
MRS. JANIE TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 3 BOX 154, FAIRFIELD, IL 62837-9537
(618) 516-3340
Mailing address
RR 3 BOX 154, FAIRFIELD, IL 62837-9537
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/15/2008
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