Individual
TANYA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, MSW
Contact information
Practice address
274 MAIN ST, LOGAN, UT 84321
(801) 319-7169
Mailing address
270 E MAIN ST, LOGAN, UT 84339-9701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14222538
UT
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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