Individual
ABIGAIL N GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
626 PARK AVE, CRANSTON, RI 02910-2154
(401) 270-9991
Mailing address
392 BUTTERNUT DR, NORTH KINGSTOWN, RI 02852-6951
(401) 486-1692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
235Z00000X
RI
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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