AUDREY GIBSON

LAKEVILLE, MN
NPI1780330910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  23282)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
AUDREY GIBSON
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044-9821
Phone number: 952-214-8959
Mailing Address
AUDREY GIBSON
18941 EXCALIBUR TRL
FARMINGTON, MN 55024-7058
Phone number: 651-707-5080