RAEGEN S GIBSON

PRYOR, OK
NPI1194468363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  5731)
Enumeration Date2022-04-15
Last Update Date2023-07-20
Business Address
RAEGEN S GIBSON M.S., CCC-SLP
2790 OLD HIGHWAY 20 E
PRYOR, OK 74361-2954
Phone number: 918-864-1099
Mailing Address
RAEGEN S GIBSON M.S., CCC-SLP
2790 OLD HIGHWAY 20 E
PRYOR, OK 74361-2954
Phone number: 918-864-1099