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Individual

RONI BREANNE GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
(859) 353-3666
Mailing address
307 JASON DR STE 4, RICHMOND, KY 40475-2774
(859) 353-3666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
263902
KY

Other

Enumeration date
06/09/2021
Last updated
02/24/2022
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