Individual
ASIA L GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
379 JACKLYN AVE., MEMPHIS, TN 38106
(901) 568-6575
Mailing address
379 JACKLYN AVE, MEMPHIS, TN 38106-7107
(901) 568-6575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
TN
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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