Individual
AMY MARIE DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(925) 445-5211
Mailing address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 445-5211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21373
AZ
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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