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Individual

SHERELLA GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LBS

Contact information

Practice address
1050 EDGEMORE RD, PHILADELPHIA, PA 19151-3008
(267) 471-7069
Mailing address
45 E CITY AVE # 1551, BALA CYNWYD, PA 19004-2421
(267) 374-3230

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005486
PA

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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