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1801503842
DAVID GIBBONS
FORT SMITH, AR
NPI
1801503842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A2210000)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
DAVID GIBBONS LAC
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
DAVID GIBBONS LAC
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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