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1194460667
CASEY RYAN TIBBS
WYTHEVILLE, VA
NPI
1194460667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904013920)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
CASEY RYAN TIBBS LCSW
770 W RIDGE RD STE 220
WYTHEVILLE, VA 24382-1187
Phone number: 276-223-3202
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Mailing Address
CASEY RYAN TIBBS LCSW
770 W RIDGE RD
WYTHEVILLE, VA 24382-1187
Phone number: 276-223-3200
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