Individual
MARY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 ALDONS WAY, SOMERSET, KY 42503-9195
(606) 260-3784
(606) 260-3784
Mailing address
1900 ALDONS WAY, SOMERSET, KY 42503-9195
(606) 260-3784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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