Individual
KATIE MARIE TIBBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30508 HOY ST, LIVONIA, MI 48154-3654
(734) 732-6295
Mailing address
30508 HOY ST, LIVONIA, MI 48154-3654
(734) 732-6295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178007205
IL
Other
Enumeration date
05/07/2012
Last updated
08/23/2023
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