Individual
MR. BRYCE JF LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
183 MAIN ST, LEWISTON, ME 04240-7016
(207) 376-5760
Mailing address
20 FARWELL ST, LEWISTON, ME 04240-4847
(207) 376-5760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11350
ME
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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