Individual
MEGAN LEA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CFY
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
(575) 935-0011
Mailing address
1689 E SUMNER AVE, FORT SUMNER, NM 88119-9370
(575) 512-6247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4380
NM
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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