Dailey-Gibson, Dianne L

Dailey-Gibson, Dianne L is an sole proprietor health care provider with primary practice located at 5462 Lahring Rd , Linden MI 48451-8918. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dailey-Gibson, Dianne L can be contacted via phone (810) 265-5698.

Contact Information

Primary practice address
5462 Lahring Rd Linden MI 48451-8918
Phone: (810) 265-5698
Fax: (810) 735-9473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801003049 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801003049 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006010 Michigan

Profile Details

NPI number 1366452336
LBN Legal business name Dailey-Gibson, Dianne L
Credentials LMSW, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Dec 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366452336 NPPES
Michigan Other D 421 143 564 290 DRIVERS LICENSE

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