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1609199603
GLENUAL T GIBSON
JEFFERSONVILLE, IN
NPI
1609199603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN C1041)
Enumeration Date
2010-03-04
Last Update Date
2015-01-14
Business Address
-- GLENUAL T GIBSON MA, LAC, CFC
534 E COURT AVE
JEFFERSONVILLE, IN 47130-4028
Phone number: 812-288-8030
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Mailing Address
-- GLENUAL T GIBSON MA, LAC, CFC
534 E COURT AVE
JEFFERSONVILLE, IN 47130-4028
Phone number: 812-288-8030
Copy
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