Individual
MRS. ERIN BROOKE DIBACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
40 11TH ST, ELKINS, WV 26241-4502
(304) 636-9150
Mailing address
102 CREEKSIDE DR, ELKINS, WV 26241-9584
(304) 637-5935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0690
WV
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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