Individual
MARY ANNE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
1800 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-2388
(712) 542-2984
Mailing address
1759 230TH ST, COIN, IA 51636-4001
(712) 264-4340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01722
IA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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