Individual
WANDA GARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SP
Contact information
Practice address
1480 W 21ST ST, CHANUTE, KS 66720-6111
(620) 431-9623
Mailing address
1480 W 21ST ST, CHANUTE, KS 66720-6111
(620) 431-9623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
215
KS
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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