Most Relevant Information
Provider Data
| NPI Number: | 1003451121 |
| Provider Name: | PHILIP GIBSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2693 |
Most Important Dates
| Enumeration Date: | 11/13/2019 |
| Last Updated: | 04/18/2022 |
Provider Practice Location
1145 SAGAMORE AVE
PORTSMOUTH
NH
038015585
Practice Location Phone/Fax
| Phone: | 6034316703 |
| Fax: | 6034303753 |
Provider Mailing Location
1145 SAGAMORE AVE
PORTSMOUTH
NH
038015585
Provider Mailing Phone/Fax
| Phone: | 6034316703 |
| Fax: | 6034303753 |