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Individual

RONALD D GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SW

Contact information

Practice address
3375 US RT 60, HUNTINGTON, WV 25705
(304) 525-7851
(304) 586-0671
Mailing address
P.O. BOX 299, 252 COURTHOUSE DRIVE, WINFIELD, WV 25213-9370
(304) 525-7851
(304) 586-0671

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944418
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005355002
WV
Enumeration date
04/07/2015
Last updated
04/07/2015
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