Individual
ANGELA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 LANE ALLEN RD, LEXINGTON, KY 40504-3507
(316) 993-1366
Mailing address
129 HAMILTON PARK, LEXINGTON, KY 40504-1412
(316) 993-1366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3814
KY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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