Individual
KISHA M. GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1836 N STAPLEY DR UNIT 122, MESA, AZ 85203-2678
(480) 267-9011
Mailing address
1836 N STAPLEY DR UNIT 122, MESA, AZ 85203-2678
(480) 267-9011
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10636
AZ
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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