Individual
JESSICA A LIBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
Mailing address
1960 S 600 E, FRANCESVILLE, IN 47946-8618
(219) 954-0064
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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