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1609836808
TELISA FOOTS GIBSON
FORT BRAGG, NC
NPI
1609836808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC 000958)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- TELISA FOOTS GIBSON
2817 REILLY RD
FORT BRAGG, NC 28310-7324
Phone number: 910-907-9078
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Mailing Address
-- TELISA FOOTS GIBSON
712 MAXINE ST
FAYETTEVILLE, NC 28303-3035
Phone number: 910-823-4773
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