Individual
MRS. GAIL BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCSW
Contact information
Practice address
308 EVERGREEN RD, LOUISVILLE, KY 40243-1076
(502) 632-3282
Mailing address
308 EVERGREEN RD STE 140, LOUISVILLE, KY 40243-1076
(502) 632-3282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
257202
KY
106H00000X
Marriage & Family Therapist
Primary
278391
KY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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