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Organization
SUGAR PLUM SPEECH LLC
Active
Organization
SUGAR PLUM SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYN GIBBONS MA CCC-SLP (OWNER)
(570) 236-8380
Entity
Organization
Contact information
Practice address
2937 ROUTE 611 UNIT 15, TANNERSVILLE, PA 18372
(570) 236-8380
(570) 355-4097
Mailing address
PO BOX 852, TANNERSVILLE, PA 18372-0852
(570) 236-8380
(570) 355-4097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SL008632
PA
Other
Enumeration date
05/22/2014
Last updated
01/05/2023
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