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1841562865
GRACE CRYSTAL GIBSON
NEW YORK, NY
NPI
1841562865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26103)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
Ms. GRACE CRYSTAL GIBSON C S A C
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
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Mailing Address
Ms. GRACE CRYSTAL GIBSON C S A C
311 W 35TH ST
NEW YORK, NY 10001-1701
Phone number: 212-736-5900
Copy
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