Individual
MISS LESA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 1ST ST NE, WASHINGTON, DC 20002-3361
(202) 442-4800
Mailing address
2811 MYRTLE AVE NE, WASHINGTON, DC 20018-2631
(202) 269-3217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01092523
MD
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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