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1316305295
MIRIAM R GIBSON
CAMPBELLSVILLE, KY
NPI
1316305295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY LPCCCA00224197)
Enumeration Date
2016-02-05
Last Update Date
2016-02-05
Business Address
-- MIRIAM R GIBSON LPCA
3020 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718-9674
Phone number: 270-465-7424
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Mailing Address
-- MIRIAM R GIBSON LPCA
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number:
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