Individual
DEIDRE G KIBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13284 MILL POINT AVE, GONZALES, LA 70737-6295
(225) 963-0331
Mailing address
13284 MILL POINT AVE, GONZALES, LA 70737-6295
(225) 963-0331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4133
LA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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