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1437401205
STACI K GIBBS
TAMPA, FL
NPI
1437401205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW 6906)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
-- STACI K GIBBS
11428 N 53RD ST
TAMPA, FL 33617-2216
Phone number: 813-374-9416
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Mailing Address
-- STACI K GIBBS
802 117TH TER N APT 16
ST PETERSBURG, FL 33716-2472
Phone number:
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