Individual
MAVIS B VANBIBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
940 GA HWY 96, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-1050
Mailing address
940 GA HWY 96, WARNER ROBINS, GA 31088-2587
(478) 988-1222
(478) 988-1050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001526
GA
Other
Enumeration date
02/09/2007
Last updated
03/06/2008
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