Individual
GWEN VANDERBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
801 E HOUSTON ST, GARRETT, IN 46738-1662
(260) 357-3112
Mailing address
1420 WAYNEDALE DR, GARRETT, IN 46738-2073
(260) 602-5887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
453269
IN
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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