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Individual

LAURA GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
311 W 2ND ST, OWENSBORO, KY 42301-0734
(270) 687-7047
Mailing address
51 N COUNTY ROAD 600 W, RICHLAND, IN 47634-9517

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004238A
IN
1041C0700X
Clinical Social Worker
Primary
KY1395
KY

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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