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1528885134
LARISA JANAE GIBSON
FORT WORTH, TX
NPI
1528885134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 114139)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
LARISA JANAE GIBSON
8745 ELBE TRL
FORT WORTH, TX 76118-7411
Phone number: 405-779-1310
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Mailing Address
LARISA JANAE GIBSON
8745 ELBE TRL
FORT WORTH, TX 76118-7411
Phone number: 405-779-1310
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