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Individual

ASHLEY ANN GARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
(304) 329-3918
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-3908
(304) 329-3918

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1451
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP-1451
STATE LICENSE
WV
Enumeration date
02/26/2020
Last updated
03/05/2020
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