Individual
FAITH GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13038 224TH ST, LAURELTON, NY 11413-1244
(917) 971-2312
Mailing address
13038 224TH ST, LAURELTON, NY 11413-1244
(917) 971-2312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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