Individual
MARY ELIZABETH GIBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2636 LILLIAN ST, SHREVEPORT, LA 71103-3332
(318) 286-2041
Mailing address
2636 LILLIAN ST, SHREVEPORT, LA 71103-3332
(318) 286-2041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7661
LA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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