Individual
SHELLEY T GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
(307) 532-8409
Mailing address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
(307) 532-8409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
02/23/2017
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