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Contact Information

MARY P TIBBITS
3831 WELLINGTON DRIVE
CAZENOVIA, NY13035
 Phone: 315-530-3874
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY P TIBBITS · (Female)

NPI Number 1487889606
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2009
Last updated 05/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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