Individual
MS. MARY E GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.E.
Contact information
Practice address
2738 E BIRCHWOOD AVE, MESA, AZ 85204-1520
(602) 369-8949
Mailing address
2753 E. BROADWAY S-101 #394, MESA, AZ 85204
(602) 369-8949
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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