Individual
AUDREY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 EAST AVE, ROCHESTER, NY 14610-2564
(585) 678-5225
Mailing address
1 MC COORD WOODS DR, FAIRPORT, NY 14450-3817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113642
NY
Other
Enumeration date
05/03/2022
Last updated
03/19/2026
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