Individual
KIM L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5, POMPANO BEACH, FL 33064
(888) 880-9270
Mailing address
5021 PARK DR APT 4, HOUSTON, TX 77023-1442
(307) 389-4409
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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