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Individual

JOEL DAVID GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1445 N 4TH ST, NEW RICHMOND, WI 54017-1063
(715) 246-6991
(715) 246-8440
Mailing address
1445 N 4TH ST, NEW RICHMOND, WI 54017-1063
(715) 246-6991
(715) 246-8440

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7434-123
WI

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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