Individual
AMANDA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Mailing address
1001 HOWARD ST, COLUMBUS, OH 43201-3768
(513) 293-8026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2504377-TRNE
OH
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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