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1912043779
STEPHANIE C GIBSON
GEORGETOWN, SC
NPI
1912043779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- STEPHANIE C GIBSON LPC
525 LAFAYETTE CIR
GEORGETOWN, SC 29440-2569
Phone number: 843-546-6107
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Mailing Address
-- STEPHANIE C GIBSON LPC
938 SQUIRREL RUN RD
HEMINGWAY, SC 29554-4855
Phone number: 843-558-5229
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