Amanda L Gibson
Social Worker in Columbus, OH. Individual provider (NPI-1).
NPI number1982107686
StatusActive
Last updated in NPPESMar 9, 2018
Details
- NPI
- 1982107686
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Gibson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2018
- Last updated
- Mar 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | S.09017245 | OH | Yes |
Practice location
700 Childrens DrColumbus, OH 43205-2664
Phone 614-722-5793 · Fax 614-722-9069
Mailing address
Dept. 781625Po Box 78000
Detroit, MI 48278-1625
Phone 614-355-8004 · Fax 614-355-2220
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