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Individual
MS. LILY GIBSON
Active
Individual
MS. LILY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61037763
WA
101Y00000X
Counselor
—
—
104100000X
Social Worker
CG60699536
WA
Other
Enumeration date
03/28/2017
Last updated
07/01/2021
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