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Individual

WILLIAM JAMES GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW LICENSE 5314214

Contact information

Practice address
10 NORTH MAIN ST, FAMILY COUNSELING SERVICES, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Mailing address
10 NORTH MAIN ST, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5314214

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01079267
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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