Individual
MRS. CAROLYN L GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2216 VINE ST, CINCINNATI, OH 45219-1828
(513) 684-7965
(513) 684-7973
Mailing address
2216 VINE ST, CINCINNATI, OH 45219-1828
(513) 684-7965
(513) 684-7973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S. 0028742
OH
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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