Individual
MRS. VIRGINIA A GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3720 SHOCK LOOP, CONWAY, AR 72034-9320
(501) 289-2956
Mailing address
3720 SHOCK LOOP, CONWAY, AR 72034-9320
(501) 289-2956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3105-C
AR
1041C0700X
Clinical Social Worker
3105-C
AR
Other
Enumeration date
05/08/2009
Last updated
01/10/2023
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