Individual
JALISA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1690 SUMNEYTOWN PIKE, LANSDALE, PA 19446-4882
(717) 256-3034
Mailing address
524 WALLER WAY, WEST NORRITON, PA 19403-3544
(717) 256-3034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143974
PA
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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