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Individual

MS. GINA BETH THOENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
8614 W 138TH TER, OVERLAND PARK, KS 66223-1130
(816) 914-1454
Mailing address
15622 W 125TH ST, OLATHE, KS 66062-5642
(913) 515-6192

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2390
KS

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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