Individual
MS. STEPHANIE LYNN GIBONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4732
Mailing address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
08/25/2013
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