Individual
KIERRA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 799-5035
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11285625-3501
UT
Other
Enumeration date
05/12/2020
Last updated
02/20/2023
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