Individual
DEBBIE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
350 N MAIN ST, HOYLETON, IL 62803-2006
(618) 493-7382
(618) 493-6390
Mailing address
350 N MAIN ST, P.O. BOX 218, HOYLETON, IL 62803-2006
(618) 493-7382
(618) 493-6390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033699003
—
IL
Enumeration date
03/18/2015
Last updated
03/18/2015
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