Individual
DEANNA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
(919) 773-2020
Mailing address
314 CHAPANOKE RD, RALEIGH, NC 27603-3400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P022201
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/17/2023
Last updated
07/16/2025
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