Individual
MS. GEORGIA D. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HICKORY HILL TRL, ELGIN, SC 29045-9394
(803) 331-9017
(803) 788-7421
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9106
SC
Other
Enumeration date
03/22/2007
Last updated
03/17/2018
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