Individual
LAQUISHA R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 W CHURCH ST STE A, SHERIDAN, AR 72150-2016
(501) 216-0625
Mailing address
512 W CHURCH ST STE A, SHERIDAN, AR 72150-2016
(501) 216-0625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
09/25/2023
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