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Individual

JESENIA RIOS-GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
676 CLINTON AVE, ALBANY, NY 12206-2216
(518) 475-6000
(518) 475-6704
Mailing address
33 ESSEX ST, ALBANY, NY 12206-2019
(518) 475-6180
(518) 475-6199

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
106325
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106325
LMSW LICENSE NUMBER
NY
Enumeration date
05/07/2019
Last updated
05/07/2019
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