Individual
JESSICA ANNA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3 PARK DR, WESTFORD, MA 01886-3511
(978) 392-1144
Mailing address
16 HILLCREST AVE, SHREWSBURY, MA 01545-5635
(413) 219-6702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8900
MA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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