Individual
HARRIET CLEMENTINE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
20824 ROUTE 52, FORT GAY, WV 25514-7074
(304) 648-7100
Mailing address
PO BOX 1201, FORT GAY, WV 25514-1201
(606) 225-9269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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