Individual
MRS. JENNIFER GIBSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
17 SAND LAKE RD, MONTICELLO, IL 61856-8074
(217) 762-9410
Mailing address
17 SAND LAKE RD, MONTICELLO, IL 61856-8074
(217) 762-9410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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