Individual
MRS. SUSAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
520 GRANGE RD, CAVE CITY, AR 72521-9393
(870) 368-3630
Mailing address
PO BOX 1193, MELBOURNE, AR 72556-1193
(870) 368-3630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2038
AR
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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