Individual
ROSE MARIE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 12TH ST STE 22, FLORENCE, OR 97439-8487
(541) 902-0408
(541) 902-7533
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 902-6140
(541) 902-7533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3389
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027905
—
OR
01
—
L3389
STATE LICENSE
OR
Enumeration date
07/17/2006
Last updated
10/25/2007
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