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Individual
MRS. KRISTIAN ANTIONETTE GIBSON-FORD
Active
Individual
MRS. KRISTIAN ANTIONETTE GIBSON-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C012286
NC
1041C0700X
Clinical Social Worker
34006886A
IN
1041C0700X
Clinical Social Worker
Primary
C012286
NC
Other
Enumeration date
05/22/2018
Last updated
06/29/2021
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