MS. Alix Matty Gibson, LICSW

NPI #1912178708 in Saint Albans, Vermont

Provider Information

NPI Number: 1912178708
Entity Type: Individual
Name: MS. Alix Matty Gibson, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Mar 19, 2008
Last Updated: Mar 19, 2008

Practice Location

Address: 20 HOUGHTON ST
Address 2: SUITE 211
City: Saint Albans
State: Vermont
ZIP Code: 05478-2227
Phone: (802) 524-4953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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