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Individual
MRS. KATHERINE WOODY GIBSON
Active
Individual
MRS. KATHERINE WOODY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5525
FL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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