Individual
JESSICA DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
274 W MAIN ST, MALONE, NY 12953-1713
(518) 483-3553
Mailing address
274 W MAIN ST, MALONE, NY 12953-1713
(518) 483-3553
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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