| Gibson Alvarez Incorporated, Llc | |
|
5731 Brockton Dr Indianapolis IN 46220-5443 | |
| (717) 271-1072 | |
| Not Available |
| Full Name | Gibson Alvarez Incorporated, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5731 Brockton Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Julie Marie Gibson Alvarez (OWNER) |
| Authorized Official Contact | 7172711072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Alvarez Incorporated, Llc 5731 Brockton Dr Indianapolis IN 46220-5443 Ph: (717) 271-1072 | Gibson Alvarez Incorporated, Llc 5731 Brockton Dr Indianapolis IN 46220-5443 Ph: (717) 271-1072 |
| NPI Number | 1891095832 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891095832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34006028A (Indiana) | Primary |
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