Individual
ASHLEY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 E 140TH ST, GRANDVIEW, MO 64030-3904
(816) 316-5400
Mailing address
1917 NE MCKEE LN, LEES SUMMIT, MO 64086-6313
(816) 298-4623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020022067
MO
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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