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Individual

MELISSA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CFLE

Contact information

Practice address
230 N BELCREST AVE STE A, SPRINGFIELD, MO 65802-6287
(417) 413-4676
(417) 763-3308
Mailing address
5005 N 10TH AVE, OZARK, MO 65721-5743
(417) 812-6302

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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