Individual
ANGELA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
920 MEDICAL DR, MANILA, AR 72442-8416
(870) 570-0358
(870) 570-0359
Mailing address
920 MEDICAL DR, MANILA, AR 72442-8416
(870) 570-0358
(870) 570-0359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A2401029
AR
Other
Enumeration date
02/11/2010
Last updated
02/21/2024
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