Individual
ANGELA GIBBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR MA
Contact information
Practice address
416 ARCHER ST, FREEPORT, NY 11520-4803
(516) 582-7615
Mailing address
416 ARCHER ST, FREEPORT, NY 11520-4803
(516) 582-7615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
267137891
NY
Other
Enumeration date
03/23/2013
Last updated
08/12/2015
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