ALICA K GIBSON

FORT WAYNE, IN
NPI1861272049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-10-04
Last Update Date2023-10-04
Business Address
ALICA K GIBSON MHC, MA
1114 PATHFINDER CV
FORT WAYNE, IN 46845-9142
Phone number: 517-677-6336
Mailing Address
ALICA K GIBSON MHC, MA
1114 PATHFINDER CV
FORT WAYNE, IN 46845-9142
Phone number:
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