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1821169541
DIANA SUSAN GIBB
FAIRFAX, VA
NPI
1821169541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701003789)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. DIANA SUSAN GIBB Ph.D., LPC
9675 MAIN ST STE B
FAIRFAX, VA 22031-3762
Phone number: 703-307-2522
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Mailing Address
Dr. DIANA SUSAN GIBB Ph.D., LPC
9675 MAIN ST STE B
FAIRFAX, VA 22031-3762
Phone number: 703-307-2522
Copy
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