Individual
BAILEY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 SE LINDSEY ST, HOXIE, AR 72433-2224
(870) 886-1333
(870) 886-1334
Mailing address
904 NE FRONT ST, WALNUT RIDGE, AR 72476-2036
(870) 679-9612
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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