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Individual

MS. KATHY GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 485-2185
(503) 363-4214
Mailing address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 485-2185
(503) 363-4214

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/10/2009
Last updated
09/10/2009
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