Individual
MRS. ASHLEY ELIZABETH GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(774) 696-3756
Mailing address
6 MAPLE LN, LEICESTER, MA 01524-2161
(774) 696-3756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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