Individual
KATHY L GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-305
WY
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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