Individual
ROSS L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
548 S MAIN ST, ANN ARBOR, MI 48104-2921
(734) 707-1052
Mailing address
14175 TRALEE DR, CEMENT CITY, MI 49233-9661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003874
MI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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