MS. Catrina S Hall Gibson, DIRECT SUPPORT SPECI

NPI #1487778288 in Big Stone Gap, Virginia

Provider Information

NPI Number: 1487778288
Entity Type: Individual
Name: MS. Catrina S Hall Gibson, DIRECT SUPPORT SPECI
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: DIRECT SUPPORT SPECI
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 100 LAUREL RIDGE
Address 2: POLLY SUMMIT GROUP HOME
City: Big Stone Gap
State: Virginia
ZIP Code: 24219
Phone: (276) 523-0028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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