Individual
CEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-5714
Mailing address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-5714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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