DIANE GALE TIBBITTS

MEDFORD, OR
NPI1538478854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  CO851)
Enumeration Date2010-10-04
Last Update Date2010-10-04
Business Address
Mrs. DIANE GALE TIBBITTS L.P.C.
720 CARDLEY AVE
MEDFORD, OR 97504-6124
Phone number: 541-772-7068
Mailing Address
Mrs. DIANE GALE TIBBITTS L.P.C.
720 CARDLEY AVE
MEDFORD, OR 97504-6124
Phone number: 541-772-7068
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