Individual
WILLIAM GENE BIBBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1747326
AZ
3747P1801X
Personal Care Attendant
—
—
385HR2055X
Child Mental Illness Respite Care
1747326
AZ
Other
Enumeration date
11/07/2012
Last updated
02/03/2021
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