MS. Carol R Mckibben, MSW

NPI #1932250560 in Roseburg, Oregon

Provider Information

NPI Number: 1932250560
Entity Type: Individual
Name: MS. Carol R Mckibben, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MSW
Enumeration Date: Jan 12, 2007
Last Updated: Mar 28, 2014

Practice Location

Address: 621 W. MADRONE ST
City: Roseburg
State: Oregon
ZIP Code: 97470-3090
Phone: (541) 440-3532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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