Individual
MS. CARLA MACGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
57 HIGHLAND AVE, SALEM, MA 01970-2141
(978) 354-2650
Mailing address
27 SWEETSER ST, WAKEFIELD, MA 01880-1816
(781) 246-0721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4882
MA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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