Individual
MRS. CHRISTINE MARIE GIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7407
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-7407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126620
PA
Other
Enumeration date
10/15/2010
Last updated
03/29/2021
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