Individual
MRS. DAWN MCKIBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 SUMMIT STREET, PETTISVILLE, OH 43553
(419) 446-2705
Mailing address
205 NOLAN PKWY, ARCHBOLD, OH 43502-8404
(567) 444-4806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP.06564
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.6564
OH
Other
Enumeration date
02/12/2014
Last updated
06/13/2019
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