Individual
KATHLEEN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8835 GLADDEN HILL LN, FORT MILL, SC 29715-6008
(704) 252-3125
Mailing address
1631 EMORY OAK DR, CHARLOTTE, NC 28270-9813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13823
NC
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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