Individual
MS. MARY ELLEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE-CD, CCC-SLP
Contact information
Practice address
320 SYCAMORE ST, AUGUSTA, AR 72006-2650
(870) 347-2241
Mailing address
4317 GLENMERE RD, NORTH LITTLE ROCK, AR 72116-7442
(501) 499-0275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
442
AR
Other
Enumeration date
06/28/2007
Last updated
08/11/2007
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