Individual
MIRAH ASHLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
616 E 63RD ST STE 106, KANSAS CITY, MO 64110-3370
(816) 866-5907
Mailing address
616 E 63RD ST STE 106, KANSAS CITY, MO 64110-3370
(816) 866-5907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023040818
MO
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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