Individual
JEANNE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
352 SOUTH DENVER STREET, SUITE 215, SALT LAKE CITY, UT 84111
(801) 521-4227
Mailing address
352 S DENVER ST, SALT LAKE CITY, UT 84111-3000
(801) 521-4227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8318639-3501
UT
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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