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1275638496
BOBBY JOE GIBBS
WATERFORD, MI
NPI
1275638496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mr. BOBBY JOE GIBBS BA,, FADOP
1435 N OAKLAND BLVD
WATERFORD, MI 48327-1549
Phone number: 248-666-2720
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Mailing Address
Mr. BOBBY JOE GIBBS BA,, FADOP
2354 HARVEY LAKE RD
HIGHLAND, MI 48356-2129
Phone number: 248-406-0900
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