Individual
PHILIP V GIBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 532-7102
(417) 532-6606
Mailing address
23576 SNOWBIRD DR, LEBANON, MO 65536-6460
(417) 588-2719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2005001137
MO
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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