Individual
GINA NOEL WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3570 W 25TH AVE, EUGENE, OR 97405-1214
(541) 335-1197
Mailing address
3570 W 25TH AVE, EUGENE, OR 97405-1214
(541) 335-1197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12827
OR
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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