Individual
CHANICIA L GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 350, WASHINGTON, DC 20040-7585
(202) 996-5445
Mailing address
1127 46TH ST SE, WASHINGTON, DC 20019-4946
(828) 346-9806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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