Individual
MRS. STEPHANIE KATHERINE HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
507 WEST DRIVE, SEVERNA PARK, MD 21146
(410) 647-8210
(410) 647-8267
Mailing address
1331 KINLOCH CIRCLE, ARNOLD, MD 21012
(410) 647-8210
(410) 647-8267
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015178500
—
MD
Enumeration date
10/14/2006
Last updated
06/09/2009
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