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Individual

MS. JULIE ANN GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4401 NE VIVION RD, SUITE 203, KANSAS CITY, MO 64119-2807
(816) 455-7450
(816) 746-9850
Mailing address
4401 NE VIVION RD, SUITE 203, KANSAS CITY, MO 64119-2807
(816) 455-7450
(816) 746-9850

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000712
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496679416
MO
Enumeration date
09/28/2007
Last updated
03/04/2026
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