Individual
MS. DIANE GIBFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
21 S 12TH ST, PHILADELPHIA, PA 19107-3614
(215) 563-0663
Mailing address
21 S 12TH ST, PHILADELPHIA, PA 19107-3614
(215) 563-0663
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128213
PA
Other
Enumeration date
10/14/2010
Last updated
02/11/2011
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