Individual
JULIET DACAL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2329 CHESTNUT AVE STE A, BUENA VISTA, VA 24416-2621
(540) 261-2887
(540) 261-2967
Mailing address
2329 CHESTNUT AVE STE A, BUENA VISTA, VA 24416-2621
(540) 261-2887
(540) 261-2967
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000349
VA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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