Individual
MR. PHILIP GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5585
(603) 431-6703
(603) 430-3753
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5585
(603) 431-6703
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2693
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078870
—
NH
Enumeration date
11/13/2019
Last updated
04/18/2022
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