Individual
MR. ETIENNE ANTHONY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2925 CEDAR ST, SUITE 2, MUSCATINE, IA 52761-2383
(563) 263-7410
(563) 263-7506
Mailing address
2925 CEDAR ST, SUITE 2, MUSCATINE, IA 52761-2383
(563) 263-7410
(563) 263-7506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007358
ID
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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