Individual
MRS. CAROLYN BALL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1 WHITNEY ST, NORWOOD, NY 13668-1406
(315) 353-2156
Mailing address
1 WHITNEY ST, NORWOOD, NY 13668-1406
(315) 353-2156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017986-1
NY
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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