Individual
CASSIDY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
405 E LINCOLN AVE, CHEWELAH, WA 99109-8955
(619) 922-1195
Mailing address
205 E SHORE RD, NINE MILE FALLS, WA 99026-9315
(619) 922-1195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60389020
WA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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