Individual
MRS. COURTNEY DESHAWN WILLIAMS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
6060 WINCHESTER AVE TRLR 82, BATON ROUGE, LA 70805-1870
(225) 346-2418
Mailing address
6060 WINCHESTER AVE TRLR 82, BATON ROUGE, LA 70805-1870
(225) 346-2418
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83416
LA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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