Individual
ANITA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 SEABOARD, BLADENBORO, NC 28320-1376
(910) 975-2526
Mailing address
PO BOX 1376, BLADENBORO, NC 28320-1376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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