Wanda Gibson, MA

NPI #1558719443 in Paducah, Kentucky

Provider Information

NPI Number: 1558719443
Entity Type: Individual
Name: Wanda Gibson, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MA
Enumeration Date: Jun 1, 2016
Last Updated: Jun 1, 2016

Practice Location

Address: 425 BROADWAY ST
City: Paducah
State: Kentucky
ZIP Code: 42001-0713
Phone: (270) 444-3650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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