Individual
SHELBY DIBACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 WOODLAWN WAY, WEIRTON, WV 26062-4429
(304) 914-5257
Mailing address
3725 WOODLAWN WAY, WEIRTON, WV 26062-4429
(304) 914-5257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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