Individual
MARKITA REGINA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2387 HUNTCREST WAY, LAWRENCEVILLE, GA 30043-8126
(678) 710-2324
Mailing address
1435 BOGGS RD APT 218, DULUTH, GA 30096-2385
(202) 680-2895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012970
GA
Other
Enumeration date
04/09/2024
Last updated
04/10/2024
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