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1548307853
KATHY GIPSON
RUSSELLVILLE, AR
NPI
1548307853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 93-16E)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- KATHY GIPSON
1505 S OSWEGO AVE
RUSSELLVILLE, AR 72802-2673
Phone number: 479-967-3370
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Mailing Address
-- KATHY GIPSON
PO BOX 679
MORRILTON, AR 72110-0679
Phone number:
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