Individual
RITA A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 GRASMERE AVE, COLUMBUS, OH 43211-1215
(614) 817-4920
Mailing address
2742 GRASMERE AVE, COLUMBUS, OH 43211-1215
(614) 817-4920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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