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1538525845
ELISE KATHRYN GIBSON
NEW YORK, NY
NPI
1538525845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 095018-1)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
-- ELISE KATHRYN GIBSON LMSW
169 W 133RD ST
NEW YORK, NY 10030-3301
Phone number: 212-803-2850
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Mailing Address
-- ELISE KATHRYN GIBSON LMSW
169 W 133RD ST
NEW YORK, NY 10030-3301
Phone number: 212-803-2850
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