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1063810083
MIKE GIBSON
CHERRY HILL, NJ
NPI
1063810083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
-- MIKE GIBSON
499 COOPER LANDING RD
CHERRY HILL, NJ 08002-2504
Phone number: 856-482-8747
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Mailing Address
-- MIKE GIBSON
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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