Individual
CHAQUITA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5637 PALADIUM DR, DALLAS, TX 75249
(214) 641-2276
Mailing address
5637 PALADIUM DR, DALLAS, TX 75249-1632
(214) 641-2276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58388
TX
171M00000X
Case Manager/Care Coordinator
58388
TX
Other
Enumeration date
07/07/2015
Last updated
06/04/2018
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