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NPI Code Detail

MEDICARE: SHAWNA HIBBLER MSW

MEDICARE:   SHAWNA  HIBBLER  MSW
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
11041C0700XClinical Social WorkerLCSW-659WY

General Provider Information

NPI Number : 1316262322
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA HIBBLER MSW
Provider Business Mailing Address
First Line : 623 W 20TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3501
Country : US
Telephone Number : 307-426-4622
Fax Number :
Provider Business Practice Location Address
First Line : 623 W 20TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3501
Country : US
Telephone Number : 307-426-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 03/07/2024

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Directions to “ SHAWNA HIBBLER MSW” Practice Location

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