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Individual

MRS. TANYA MICHELLE GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
5519 DORY DR, ANTIOCH, TN 37013-2455
(615) 641-2846
Mailing address
5519 DORY DR, ANTIOCH, TN 37013-2455
(615) 641-2846

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3821
TN

Other

Enumeration date
08/11/2009
Last updated
04/12/2010
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