Individual
REBECCA JOANNE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 PECAN TREE LANE, FORT MILL, SC 29715
(855) 832-6727
Mailing address
927 PECAN TREE LN, FORT MILL, SC 29715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB922925
SC
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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