Individual
ANTONICE S BIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1711 E CENTRAL TEXAS EXPY, SUITE 301, KILLEEN, TX 76541-9166
(254) 458-2353
(254) 853-4177
Mailing address
1711 E CENTRAL TEXAS EXPY STE 301, KILLEEN, TX 76541-9147
(254) 458-2353
(254) 853-4177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58471
TX
1041C0700X
Clinical Social Worker
6801087893
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2007
Last updated
03/27/2019
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