STACY ANN GIBSON

EFFINGHAM, IL
NPI1346565728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.006307)
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
-- STACY ANN GIBSON
16276 N BRIARWOOD DR
EFFINGHAM, IL 62401-5316
Phone number: 217-868-9928
Mailing Address
-- STACY ANN GIBSON
16276 N BRIARWOOD DR
EFFINGHAM, IL 62401-5316
Phone number: 217-868-9928
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