Individual
SALLY IBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 PUBLIC LANDING RD, SNOW HILL, MD 21863-2453
(410) 632-1100
(410) 632-0906
Mailing address
1501 CEDAR ST, POCOMOKE CITY, MD 21851-9533
(410) 957-1489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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