Provider Information for 1982299533
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MARY ELIZABETH GAPSCH LPC
Sex: Female
NPI: 1982299533
Last Updated: 2023-08-18
Certification Date: 2023-08-18
Certification Date: 2023-08-18
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1982299533 | ||||||||
| Enumeration Date | 2021-03-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1800 COMMUNITY CLINTON, MO 64735-8804 United States Phone: 660-885-8131 | Fax: | ||||||||
| Primary Practice Address | 1450 E 10TH ST ROLLA, MO 65401-3648 United States Phone: 844-853-8937 | Fax: | ||||||||
| Secondary Practice Address(es) | 13160 COUNTY ROAD 3610 | ||||||||
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