Individual
MICHELLE JEANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
528 E MAIN ST STE W, JOHN DAY, OR 97845-1289
(541) 575-1466
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10593
OR
Other
Enumeration date
10/25/2023
Last updated
10/07/2024
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