DEBRA JEAN GIBSON

SLC, UT
NPI1922592997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  6926577-6006)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
DEBRA JEAN GIBSON LSUDC
5689 S REDWOOD RD UNIT 30
SLC, UT 84123-5499
Phone number: 801-268-1715
Mailing Address
DEBRA JEAN GIBSON LSUDC
5689 S REDWOOD RD UNIT 30
SLC, UT 84123-5499
Phone number: 801-268-1715
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