Individual
MARY LYNNE WILKINS GIBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 E WINDJAMMER WAY, TEMPE, AZ 85283-2150
(928) 606-6071
Mailing address
1535 E WINDJAMMER WAY, TEMPE, AZ 85283-2150
(928) 606-6071
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14766
AZ
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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