Individual provider · Type 1 NPI
Kent Douglas Gibson, L.I.S.W.
School Social Worker · Rio Rancho, NM
NPI number
1386861375
Active
Practice location
1500VERANDA Dr. SE
Rio Rancho, NM 87124-3897
Mailing address
3704 Arboleda Senda, NE
Albuquerque, NM 87111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | I-3997 (NM) |
School Social Worker: Definition to come...
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About NPI 1386861375
Kent Douglas Gibson, L.I.S.W.'s National Provider Identifier is 1386861375, issued on Apr 19, 2007. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Rio Rancho, NM. The record was last updated on Jul 8, 2007.