Patty Gibbs
Counselor, Professional in Davenport, IA. Individual provider (NPI-1).
NPI number1750782850
StatusActive
Last updated in NPPESSep 8, 2014
Details
- NPI
- 1750782850
- Entity type
- Individual (NPI-1)
- Name
- Patty Gibbs
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2014
- Last updated
- Sep 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 072526 | IA | Yes |
Practice location
4117 N Linwood AveDavenport, IA 52806-4935
Phone 563-949-0780
Mailing address
4117 N Linwood AveDavenport, IA 52806-4935
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