Individual
MRS. PATRICIA K. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 VALERIE DR, GREENVILLE, SC 29615-1294
(864) 292-5085
Mailing address
5 VALERIE DR, GREENVILLE, SC 29615-1294
(864) 292-5085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3813
SC
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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