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Edmond Spencer Dibble III
Peer Specialist in Farmington, New York
NPI 1639837206

Edmond Spencer Dibble III is a Peer Specialist based in Rochester, NY. Edmond Spencer Dibble III practices in Farmington, NY. The NPI Number for Edmond Spencer Dibble III is 1639837206 and holds a License No. (New York).

The current practice location address for Edmond Spencer Dibble III is 1533 Meadowbrook Lane, Farmington, NY and can be reached out via phone at 813-892-9373.

Location: 1533 Meadowbrook Lane, Farmington, NY, 14611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639837206
Provider Name
Edmond Spencer Dibble III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1533 Meadowbrook Lane, Farmington, NY, 14611
Phone Number
813-892-9373
Fax Number
Provider Enumeration Date
12/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1533 Meadowbrook Lane
City
Farmington
State
New York
Zip
14425
Phone Number
813-892-9373
Fax Number
person
Provider Business Mailing Address Details
Address
1533 Meadowbrook Lane
City
Farmington
State
New York
Zip
14425
Phone Number
813-892-9373
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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