Individual
LA'SHEA VICTORIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
154 CAREY DR, NOBLESVILLE, IN 46060-1301
(708) 320-8630
Mailing address
3516 N WHIPPLE ST, CHICAGO, IL 60618-5614
(765) 576-0379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022469
IL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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