Individual
JESSICA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
194 LYMAN RD, MILTON, MA 02186-4622
(781) 820-4610
(800) 309-9327
Mailing address
194 LYMAN RD, MILTON, MA 02186-4622
(781) 820-4610
(800) 309-9327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6008
MA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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