Individual
ELISSA HIBMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 284-3267
Mailing address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093907
MI
Other
Enumeration date
04/24/2012
Last updated
02/07/2013
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