Individual
MONIQUE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
465 GRAND ST, 2ND FLORR, NEW YORK, NY 10002-4800
(646) 938-8008
Mailing address
465 GRAND ST, 2ND FLORR, NEW YORK, NY 10002-4800
(646) 938-8008
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1035S0200X
NY
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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