Individual
KATHY GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2673
(479) 967-3370
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
93-16E
AR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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