Individual
GRETCHEN GIBBONS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
271 IHLE DR, CINCINNATI, OH 45238-6022
(513) 535-6315
Mailing address
271 IHLE DR, CINCINNATI, OH 45238-6022
(513) 535-6315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0900427-TRE
OH
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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