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Individual
KATHLEEN T GIBSON
Active
Individual
KATHLEEN T GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115304
NY
104100000X
Social Worker
P111613
NY
Other
Enumeration date
11/12/2021
Last updated
06/20/2022
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