Individual
PAULA MISCHELLE TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
710 GLENN DR, SIKESTON, MO 63801-3926
(573) 472-5360
Mailing address
21292 COUNTY ROAD 306, ORAN, MO 63771-8248
(573) 429-0161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009013463
MO
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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