Individual
MICHELLE KIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10249 PRINCE PL APT 303, LARGO, MD 20774-1171
(240) 381-3629
Mailing address
10249 PRINCE PL APT 303, LARGO, MD 20774-1171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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