Individual
JASON HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
8140 DREAM ST STE D, FLORENCE, KY 41042-7532
(859) 421-0485
Mailing address
111 BEECH ST APT 7, NEWPORT, KY 41071-4502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254105
KY
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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