Individual
CRYSTAL MARIE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10072 12TH WAY N APT 213, ST PETERSBURG, FL 33716-4399
(727) 215-7166
Mailing address
10072 12TH WAY N APT 213, ST PETERSBURG, FL 33716-4399
(727) 215-7166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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