Individual
JOHN LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
156 EAST AVE, LEWISTON, ME 04240-5626
(207) 794-4144
(207) 795-4147
Mailing address
PO BOX 10187, ALBANY, NY 12201-5187
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10673
ME
Other
Enumeration date
10/29/2008
Last updated
05/07/2012
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