Individual
TERESA EVALYN KNOX-GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
1420 UNIVERSITY AVE, FLINT, MI 48504-6208
(810) 238-0475
Mailing address
4098 W FRANCES RD, CLIO, MI 48420-8521
(810) 577-8730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
EASTER SEALS
MI
Enumeration date
09/29/2020
Last updated
09/29/2020
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