Individual
MR. CHRISTOPHER WAYNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
190 S MAIN ST STE B, CENTERVILLE, UT 84014-2839
(801) 614-8400
Mailing address
190 S MAIN ST STE B, CENTERVILLE, UT 84014-2839
(801) 614-8400
(801) 614-8300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9414179-3502
UT
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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