Individual
MS. DIANE CAROL LIBBY-GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
32 JOAN TRL, SIDNEY, ME 04330-2701
(207) 547-4201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4628
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433429099
—
ME
Enumeration date
06/16/2009
Last updated
10/29/2013
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