| Doctor Name: | MS. MARIA L. WIBBELS |
| NPI Number: | 1114014636 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 072829 |
| Business Practice Address: | 411 3rd St. Monett, MO - 65708 |
| Business Phone Number: | 4174761000 |
| Business Fax Number: | 4173540065 |
| Mailing Address: | 549 Thoroughbred Rd, WALTON |
| State: | NY |
| Postal Code: | 138564521 |
| Phone Number: | 6078656522 |
| Fax Number: | 6078657424 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 072829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |