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1770005977
HEATHER GIBSON
BURLINGTON, WA
NPI
1770005977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60741569)
Enumeration Date
2017-07-10
Last Update Date
2017-07-10
Business Address
HEATHER GIBSON
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number: 360-757-0131
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Mailing Address
HEATHER GIBSON
614 PETERSON RD
BURLINGTON, WA 98233-2606
Phone number:
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