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Individual

GLORIA KAY GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 S MAIN ST STE 200, GRAPEVINE, TX 76051-7503
(972) 945-7719
Mailing address
4202 LIBERTY CT, FLOWER MOUND, TX 75028-3043
(972) 945-7719

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78541
TX

Other

Enumeration date
05/18/2020
Last updated
09/16/2020
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