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1336650589
SHANITA GIBSON
LITTLE ROCK, AR
NPI
1336650589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A1708254)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
SHANITA GIBSON LAC
1405 N PIERCE ST STE 101
LITTLE ROCK, AR 72207-5379
Phone number: 501-603-2147
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Mailing Address
SHANITA GIBSON LAC
1405 N PIERCE ST STE 101
LITTLE ROCK, AR 72207-5379
Phone number: 501-603-2147
Copy
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