Individual
HANNAH GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W VALLEY SPRINGS RD., JACKSON, WY 83001
(307) 733-0333
Mailing address
PO BOX 4180, JACKSON, WY 83001-4180
(575) 265-9594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1398
WY
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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