Individual
STEPHANIE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
912 GLEN WAY NE, BROOKHAVEN, GA 30319-3027
(651) 278-6651
Mailing address
PO BOX 123, BROOKHAVEN, GA 30319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007641
GA
Other
Enumeration date
07/09/2015
Last updated
01/11/2017
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