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1700180262
DWAYNE LEE GIBSON
TOLEDO, OH
NPI
1700180262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 090176)
Enumeration Date
2010-12-27
Last Update Date
2010-12-27
Business Address
Mr. DWAYNE LEE GIBSON MSW, CDCA
5416 GLENRIDGE DR
TOLEDO, OH 43614-1608
Phone number: 419-705-2169
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Mailing Address
Mr. DWAYNE LEE GIBSON MSW, CDCA
5416 GLENRIDGE DR
TOLEDO, OH 43614-1608
Phone number: 419-705-2169
Copy
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