Individual
ANGEL GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 MAY ST, WORCESTER, MA 01602-4338
(774) 289-2873
Mailing address
148 MAY ST, WORCESTER, MA 01602
(774) 289-2873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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