Individual
JANE CHANDLER GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9137 OLD BONHOMME RD, OLIVETTE, MO 63132-4417
(314) 997-7002
(314) 997-6848
Mailing address
9137 OLD BONHOMME RD, OLIVETTE, MO 63132-4417
(314) 997-7002
(314) 997-6848
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2003006010
MO
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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