Individual
ANGELA FELICE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24667 THE TRL, MATTAPONI, VA 23110-2037
(804) 785-5830
Mailing address
24667 THE TRL, MATTAPONI, VA 23110-2037
(804) 785-5830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000260
VA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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