James W. Gibson III LCSW

NPI 1346370673 - Social Worker - 1041C0700X

NPI Details
NPI 1346370673
Gender Male
Enumeration Date 03/06/2007
Last Updated 05/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
940 AVENUE 64
PASADENA CA, 91105, US
Phone (323) 254-2274
Fax
Business Location
940 AVENUE 64
PASADENA CA, 91105, US
Phone (323) 254-2274
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS21572
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According to our database, Mr. James W. Gibson III LCSW NPI is 1346370673, taxonomy code is 1041C0700X and license number is LCS21572, license state is located at California. James W. Gibson III LCSW physically located at 940 Avenue 64, Pasadena CA, 91105. NPI Number James W. Gibson III LCSW has the Individual type.

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1346370673 NPI number is provided on an as is basis without warranty of any kind. 1346370673 is maintained by the National Plan & Provider Enumeration System. The contents of James W. Gibson III LCSW are for informational purposes only.