Individual
JULIE ANNE STIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7080
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 892-7080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
003020
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003020
LCSW
CT
Enumeration date
11/29/2006
Last updated
07/08/2007
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