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Individual

AHBRIA CHONTRELLE GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
600 W 6TH ST, FORT WORTH, TX 76102-3684
(682) 990-6617
Mailing address
600 W 6TH ST, FORT WORTH, TX 76102-3684
(682) 990-6617

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117382
TX

Other

Enumeration date
09/25/2020
Last updated
11/10/2023
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