Individual
JENNIFER GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 CLAY ST, PADUCAH, KY 42001-4071
(270) 443-1317
Mailing address
312 N CARRIER ST, MORGANFIELD, KY 42437-1543
(270) 997-1979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6607
KY
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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