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1861824138
AMY GIBBONS
BRANDON, MS
NPI
1861824138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MS C6195)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
AMY GIBBONS LCSW
129 VICTORIA PL
BRANDON, MS 39042-6015
Phone number: 601-942-1518
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Mailing Address
AMY GIBBONS LCSW
129 VICTORIA PL
BRANDON, MS 39042-6015
Phone number: 601-942-1518
Copy
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