Individual
MRS. JENNIFER GIBSON VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1331 BURCHWOOD CT, HENDERSON, KY 42420-4876
(270) 831-1150
Mailing address
1331 BURCHWOOD CT, HENDERSON, KY 42420-4876
(270) 831-1150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140636
KY
Other
Enumeration date
11/19/2007
Last updated
04/22/2020
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