Individual
MRS. ANGEL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 BLACKMON RD, BYRAM, MS 39272-6039
(601) 978-0230
Mailing address
170 BLACKMON RD, BYRAM, MS 39272-6039
(601) 978-0230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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