Individual
ALISA GAIL GANT-GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4805 GREEN RD STE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Mailing address
1636 FROG HOLLOW WAY, WAKE FOREST, NC 27587-4330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021416
NC
Other
Enumeration date
10/08/2024
Last updated
10/17/2024
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