Individual
PATTY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4117 N LINWOOD AVE, DAVENPORT, IA 52806-4935
(563) 949-0780
Mailing address
4117 N LINWOOD AVE, DAVENPORT, IA 52806-4935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
072526
IA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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