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Individual

MISS CHRISTINE ELIZABETH GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.C.D., CCC-A

Contact information

Practice address
6260 PROVIDENCE PL, NEW ORLEANS, LA 70126-1011
(504) 957-7762
Mailing address
2301 SEVERN AVE, APT. C-208, METAIRIE, LA 70001-1949
(713) 443-6129

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4959
LA
2355S0801X
Speech-Language Assistant
4959
LA

Other

Enumeration date
08/14/2007
Last updated
08/14/2007
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