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Individual

DEANNA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6844 S INDIANA AVE, CHICAGO, IL 60637-3906
(708) 802-4563
Mailing address
7212 MADISON AVE, HAMMOND, IN 46324-1910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020528
IL

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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