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1568141752
LATISHA MICHELLE GIBSON
RALEIGH, NC
NPI
1568141752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
LATISHA MICHELLE GIBSON MS,LCAS-A
FERNANDEZ COMMUNITY CENTER 3050 BERKS WAY
RALEIGH, NC 27614
Phone number: 919-900-7438
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Mailing Address
LATISHA MICHELLE GIBSON MS,LCAS-A
2500 NASH ST N STE E2500
WILSON, NC 27896-1394
Phone number: 252-227-1376
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