| NPI | 1508657107 |
|---|---|
| Former Legal Business Name | BRIDGETT GIPSON |
| Entity Type | Organization |
| Authorized Contact | BRIDGETT GIPSON Owner 903-431-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |