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1073233714
JEANETTE M GIBSON
SAN JOSE, CA
NPI
1073233714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 101081)
Enumeration Date
2022-09-01
Last Update Date
2022-10-06
Business Address
JEANETTE M GIBSON LCSW
570 BLOSSOM HILL RD
SAN JOSE, CA 95123-3212
Phone number: 855-799-4647
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Mailing Address
JEANETTE M GIBSON LCSW
PO BOX 888
TRACY, CA 95378-0888
Phone number: 209-650-0896
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