Individual
MRS. HEATHER MARIE GIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7738B MADISON BLVD STE 202, HUNTSVILLE, AL 35806-3661
(256) 224-4755
Mailing address
118 PLACID DR, HARVEST, AL 35749-8900
(256) 698-9784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3664C
AL
Other
Enumeration date
06/10/2016
Last updated
03/21/2018
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