NICOLE MARIE GIBSON

SYRACUSE, NY
NPI1114438611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: NY  31404)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
NICOLE MARIE GIBSON CASAC-T
321 W ONONDAGA ST
SYRACUSE, NY 13202-3207
Phone number: 315-478-0610
Mailing Address
NICOLE MARIE GIBSON CASAC-T
133 MCKINLEY AVE
SYRACUSE, NY 13205-1513
Phone number:
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