Individual
MRS. CARLENE DAWN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
307 MARKET STREET, FAMILY THERAPY SERVICES, JOHNSTOWN, PA 15901-1701
(814) 254-4351
Mailing address
P.O. BOX 273, FAMILY THERAPY SERVICES, JOHNSTOWN, PA 15907
(814) 254-4351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018684
PA
Other
Enumeration date
06/13/2008
Last updated
08/04/2015
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