Individual
MRS. KIMBERLY JEAN IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 E JONES CREEK RD, GRANTS PASS, OR 97526-3714
(541) 291-3945
Mailing address
1126 E JONES CREEK RD, GRANTS PASS, OR 97526-3714
(541) 291-3945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L14621
OR
Other
Enumeration date
04/04/2019
Last updated
01/29/2024
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