Individual
KATHLEEN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1601 PENNSYLVANIA ST NE, #B-8, ALBUQUERQUE, NM 87110-5546
(808) 347-3139
Mailing address
1601 PENNSYLVANIA ST NE, #B-8, ALBUQUERQUE, NM 87110-5546
(808) 347-3139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08808
NM
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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