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Individual
DAVID GIBBONS
Active
Individual
DAVID GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012131
IL
Other
Enumeration date
02/08/2016
Last updated
06/03/2024
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