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1679199053
CAROLNISE GIBSON
MONROE, LA
NPI
1679199053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
CAROLNISE GIBSON
353 STUBBS MCCORMICK RD
MONROE, LA 71203-9412
Phone number: 318-614-5044
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Mailing Address
CAROLNISE GIBSON
353 STUBBS MCCORMICK RD
MONROE, LA 71203-9412
Phone number: 318-614-5044
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