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NPI Code Detail

MEDICARE: MRS. ROBBIN SUE WILBER BBA

MEDICARE: MRS. ROBBIN SUE WILBER BBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174036446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBBIN SUE WILBER BBA
Provider Business Mailing Address
First Line : 200 VISTA DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-1776
Country : US
Telephone Number : 517-278-2129
Fax Number : 517-279-8172
Provider Business Practice Location Address
First Line : 200 VISTA DR
Second Line :
City : COLDWATER
State : MI
Zip : 49036-1776
Country : US
Telephone Number : 517-278-2129
Fax Number : 517-279-8172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 11/09/2017

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