Individual
JENNA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 TOWER ST, SOMERVILLE, MA 02143-1426
(617) 591-4500
Mailing address
3354 STUART CT, ADAMSTOWN, MD 21710-9417
(240) 422-2804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28169
MD
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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