Individual
ANDREA B GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807-3552
(865) 333-4673
(865) 951-7281
Mailing address
185 YORKSHIRE DR, HARROGATE, TN 37752-3738
(865) 333-4673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7017
TN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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