Individual
DAWN KENROY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4910 BURNET RD, AUSTIN, TX 78756-2610
(512) 517-5545
Mailing address
4910 BURNET RD, AUSTIN, TX 78756-2610
(512) 517-5545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34060
TX
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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