Individual
LESLIE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 730-2351
(218) 730-2363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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