Individual
CHRISTINA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1150 MONTREAL AVE STE 107, SAINT PAUL, MN 55116-2393
(651) 313-8080
Mailing address
311 RYAN AVE, SAINT PAUL, MN 55102-2552
(651) 230-0916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15788
PR
1041C0700X
Clinical Social Worker
Primary
21239
MN
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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