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Individual
STACI K GIBBS
Active
Individual
STACI K GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 6906
FL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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