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Individual

ANGELA J GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LCSW

Contact information

Practice address
10225 ULMERTON RD, SUITE 8-B, LARGO, FL 33771-3538
(727) 586-0636
(727) 585-6287
Mailing address
10225 ULMERTON RD, SUITE 8-B, LARGO, FL 33771-3538
(727) 586-0636
(727) 585-6287

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1799
FL

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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