Heather Marie Gibbon, LICSW
Social Worker, Clinical in Huntsville, AL. Individual provider (NPI-1).
NPI number1376992255
StatusActive
Last updated in NPPESMar 21, 2018
Details
- NPI
- 1376992255
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Marie Gibbon
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2016
- Last updated
- Mar 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 3664C | AL | Yes |
Other names
- Heather Marie Rogers (Former Name)
Practice location
7738b Madison Blvd Ste 202Huntsville, AL 35806-3661
Phone 256-224-4755
Mailing address
118 Placid DrHarvest, AL 35749-8900
Phone 256-698-9784
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