Individual
MARY JEAN TIBBETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5502
KS
1041C0700X
Clinical Social Worker
Primary
06545
KS
Other
Enumeration date
04/08/2019
Last updated
09/03/2024
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