Individual
MS. DOROTHY B GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1831 CHESTNUT ST, SUITE 801, PHILADELPHIA, PA 19103-3713
(267) 307-8428
Mailing address
6240 CRAFTON ST, PHILADELPHIA, PA 19149-3509
(267) 307-8428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWO13936
PA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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