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Individual

CASEY JAMES GIBBONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
12519 FERN CRK, SAN ANTONIO, TX 78253-5181
(971) 221-7724
Mailing address
12519 FERN CRK, SAN ANTONIO, TX 78253-5181
(971) 221-7724

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111732
TX

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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