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General NPI Number Information
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NPI Number | 1467774638
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Entity Type | Individual
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Provider Name | DEBRA GIBBONS L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2010
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 321 N MALL DR. BLDG. O 101
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City | SAINT GEORGE
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State | UT
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Zip | 84790-7313
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Country | US
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Telephone | 435-868-8376
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Fax | 435-635-9720
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Provider Business Mailing Address
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Address Line | 321 N MALL DR. BLDG. O 101
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City | SAINT GEORGE
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State | UT
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Zip | 84790-7313
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Country | US
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Telephone | 435-868-8376
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Fax | 425-635-9720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 89417013902
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License Number State | WA
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