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Individual

MRS. MARY GIBBONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMFT

Contact information

Practice address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455
Mailing address
4201 ANDERSON AVE STE D110, MANHATTAN, KS 66503-7603
(785) 539-5455

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1203
OK

Other

Enumeration date
01/05/2017
Last updated
02/16/2024
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