Individual
DACEY MARIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S MERIDIAN ST, WINCHESTER, IN 47394-1809
(720) 837-8495
Mailing address
108 S MERIDIAN ST, WINCHESTER, IN 47394-1809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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