Individual
JAMIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 OAKMAN ST, ROCHESTER, NY 14605-1135
(585) 325-2920
Mailing address
54 OAKMAN ST, ROCHESTER, NY 14605-1135
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
114836
NY
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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