Autumn Suzanne Gibson
NPI #1730729153 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1730729153
- Entity Type
- Individual
- Name
- Autumn Suzanne Gibson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 14, 2020
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 31950 23 MILE RD
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48047-4655
- Phone
- (586) 228-9991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Licensed Practical Nurse |
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