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Organization
TRANQUIL WATERS
Active
Organization
TRANQUIL WATERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JARMAN GIBBS (OWNER)
(252) 402-6557
Entity
Organization
Contact information
Practice address
141 S MARKET ST, WASHINGTON, NC 27889
(252) 623-2128
Mailing address
2504 THOMAS LANGSTON RD, WINTERVILLE, NC 28590-9369
(252) 402-6557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9001
NC
Other
Enumeration date
03/29/2018
Last updated
03/19/2019
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