Individual
MACKENLEA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 DAN ARK CIRCLE, DANVILLE, AR 72833
(479) 747-3596
Mailing address
480 MASSENGALE RD, CLARKSVILLE, AR 72830-9145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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