Individual
KRISTIN GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 NEWARK RD, MOUNT VERNON, OH 43050-4510
(740) 397-7422
Mailing address
327 YERKES ST, NORTHVILLE, MI 48167-1635
(740) 229-9592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.06201
OH
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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