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1518445360
RUSSELL C. GIBBS
SLIDELL, LA
NPI
1518445360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 012158399)
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
RUSSELL C. GIBBS
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
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Mailing Address
RUSSELL C. GIBBS
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
Copy
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