Individual
MATTHEW THOMAS GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(914) 943-8164
Mailing address
1982 PARKWAY DR, ALTOONA, PA 16602-7530
(814) 932-7357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136937
PA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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