Individual
MS. CARLY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 RIVERVIEW PLZ, EMERGENCY DEPARTMENT- CRISIS UNIT, RED BANK, NJ 07701-1864
(732) 530-2438
(732) 530-2540
Mailing address
1 RIVERVIEW PLZ, EMERGENCY DEPARTMENT- CRISIS UNIT, RED BANK, NJ 07701-1864
(732) 530-2438
(732) 530-2540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05837200
NJ
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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