Individual
MS. AUDREY ELIZABETH GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
75 HIGH ST, MORGANTOWN, WV 26505-7517
(304) 284-8978
Mailing address
2704 CHATEAU ROYALE CT, MORGANTOWN, WV 26505-1821
(304) 815-2907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW032316572
WV
1041C0700X
Clinical Social Worker
SW032316572
WV
Other
Enumeration date
04/10/2023
Last updated
04/21/2023
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