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Individual

JEANNE E GIBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
305 WASHINGTON AVE STE 500, TOWSON, MD 21204-4747
(443) 928-4068
Mailing address
PO BOX 4, RIDERWOOD, MD 21139-0004
(443) 928-4068

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12356
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093860934
UBH
MD
01
2132142
MAMSI
01
255222
COMPSYCH
MD
01
408034300
MEDICAL ASSISTANCE
MD
01
5033038
APS
MD
01
548825
VALUE OPTIONS
MD
01
646122-01
BLUE CROSS BLUE SHIELD
MD
01
7009756
AETNA
MD
01
808225000
MAGELLAN
MD
01
H2407283
CIGNA
MD
01
J648-0004
BLUE CROSS BLUE SHIELD
Enumeration date
01/23/2007
Last updated
05/14/2013
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