Candice Kiera Gibson

NPI #1457976516 in Fort Moore, Georgia

Provider Information

NPI Number
1457976516
Entity Type
Individual
Name
Candice Kiera Gibson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 14, 2020
Last Updated
Feb 29, 2024

Practice Location

Address
6600 VAN AALST BLVD BLDG 9250
State
Georgia
ZIP Code
31905-2102
Phone
(762) 408-4076

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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