MR. NATHAN GIBBONS, LCSW

Social Worker - Clinical

Active Individual
NPI: 1508910092

Practice Address

2005 N 900 E
Provo, UT 84602

Phone: (801) 422-5609

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 322256-3501 (UT)

Frequently Asked Questions

NPI 1508910092 is the National Provider Identifier for MR. NATHAN GIBBONS, LCSW, a Social Worker - Clinical provider located in Provo, UT. This NPI was enumerated on January 22, 2007.
MR. NATHAN GIBBONS, LCSW practices at 2005 N 900 E, Provo, UT 84602.

Quick Facts

NPI
1508910092
Type
Individual
Enumerated
Jan 22, 2007
Last Updated
Jan 13, 2014

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