Individual
LESLIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S CASWELL RD, CHARLOTTE, NC 28204-3214
(704) 313-3088
Mailing address
1055 HUNTERS RUN DR, TEGA CAY, SC 29708-8339
(814) 404-9220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8850
SC
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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