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Individual

MS. BRENNA CARDY GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
175 HUMBOLDT ST, ROCHESTER, NY 14610-1059
(585) 546-1960
Mailing address
175 HUMBOLDT ST, ROCHESTER, NY 14610-1059
(585) 546-1960

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
068716-1
NY

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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