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Individual

MRS. MANDY SUE GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1801 S 74TH ST, FORT SMITH, AR 72903-2814
(479) 452-3991
Mailing address
2210 DILLON TER, GREENWOOD, AR 72936-5960
(479) 414-6557

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2183
AR

Other

Enumeration date
12/01/2006
Last updated
07/09/2007
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