Individual
MRS. CRYSTAL M DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 FAIRGROUND RD, WEST WINFIELD, NY 13491-2006
(315) 822-2870
Mailing address
PO BOX 744, RICHFIELD SPRINGS, NY 13439-0744
(315) 858-9935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06927-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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