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1386158228
DIANE FAYE GIBSON
LOGAN, WV
NPI
1386158228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WV C362704)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
DIANE FAYE GIBSON BA, LSW
313 HUDGINS ST
LOGAN, WV 25601-3535
Phone number: 304-752-7830
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Mailing Address
DIANE FAYE GIBSON BA, LSW
313 HUDGINS ST
LOGAN, WV 25601-3535
Phone number: 304-752-7830
Copy
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