Individual
DANIELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Mailing address
209 HANOVER ST APT 6, FREDERICKSBURG, VA 22401-5949
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0606670
VA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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