FANTA GIBSON

DANVILLE, IL
NPI1841751609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  4059-C)
Enumeration Date2019-03-26
Last Update Date2021-08-10
Business Address
FANTA GIBSON LCSW, CDP
1900 E MAIN ST VA ILLIANA HEALTHCARE SYSTEM, SOCIAL WORK DEPT
DANVILLE, IL 61832-5100
Phone number: 217-554-3000
Mailing Address
FANTA GIBSON LCSW, CDP
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number:
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