Individual
MRS. MARY EVELYN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1000 W STONE ST, FAYETTEVILLE, AR 72701-5653
(479) 444-3000
Mailing address
14225 SKYVIEW EAST RD, WEST FORK, AR 72774-2928
(479) 846-5936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1204
AR
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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