Individual
PATRICE AGBIBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
(866) 785-4924
Mailing address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
(866) 785-4924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002117A
IN
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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