Individual
THOMAS RICHARD BIBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-956
WY
1041C0700X
Clinical Social Worker
PCSW-554
WY
Other
Enumeration date
04/24/2012
Last updated
10/09/2015
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