DWAYNE LEE GIBSON

TOLEDO, OH
NPI1700180262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  090176)
Enumeration Date2010-12-27
Last Update Date2010-12-27
Business Address
Mr. DWAYNE LEE GIBSON MSW, CDCA
5416 GLENRIDGE DR
TOLEDO, OH 43614-1608
Phone number: 419-705-2169
Mailing Address
Mr. DWAYNE LEE GIBSON MSW, CDCA
5416 GLENRIDGE DR
TOLEDO, OH 43614-1608
Phone number: 419-705-2169