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Individual

ELLEN SIBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
728 FENTRESS BLVD, DAYTONA BEACH, FL 32114-1214
(386) 272-7440
(386) 204-0948
Mailing address
728 FENTRESS BLVD, DAYTONA BEACH, FL 32114-1214
(386) 272-7440

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW18455
FL
1041C0700X
Clinical Social Worker
Primary
SW25718
FL

Other

Enumeration date
07/13/2024
Last updated
05/15/2026
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