Individual
SARAH WIBBENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 SUMMIT ST, OLNEY, IL 62450-2028
(618) 838-5970
Mailing address
716 N WALNUT ST, OLNEY, IL 62450-2044
(618) 838-5970
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36840
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/24/2013
Last updated
07/03/2019
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