Individual
MRS. JUDITH ANN MCKIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
710 N TOWNVILLE ST, SENECA, SC 29678-2645
(864) 886-4445
Mailing address
710 N TOWNVILLE ST, SENECA, SC 29678-2645
(864) 886-4445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
184641
SC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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