Individual
ALEXIS MARIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4000
Mailing address
1236 MITCHELL AVE, STATESVILLE, NC 28677-3842
(704) 402-2610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017710
NC
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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