Individual
KATHRYN ROSE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 SILKEY RD, NORTH GRANBY, CT 06060-1419
(860) 917-6937
Mailing address
63 SILKEY RD, NORTH GRANBY, CT 06060-1419
(860) 917-6937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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