Organization
GIBSON ALVAREZ INCORPORATED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARIE GIBSON ALVAREZ LCSW (OWNER)
(717) 271-1072
Entity
Organization
Contact information
Practice address
5731 BROCKTON DR, INDIANAPOLIS, IN 46220-5443
(717) 271-1072
Mailing address
5731 BROCKTON DR, INDIANAPOLIS, IN 46220-5443
(717) 271-1072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006028A
IN
Other
Enumeration date
10/25/2010
Last updated
04/21/2011
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