Gibson, Connie J

Gibson, Connie J is an individual health care provider with primary practice located at 540 E 1St St , Waconia MN 55387-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gibson, Connie J can be contacted via phone (952) 442-4437.

Contact Information

Primary practice address
540 E 1St St Waconia MN 55387-1600
Phone: (952) 442-4437
Fax: (952) 442-3084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LICSW4945 Minnesota

Profile Details

NPI number 1386778918
LBN Legal business name Gibson, Connie J
Credentials MSSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Feb 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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