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Individual

SAMANTHA NICOLE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2314 S VAL VISTA DR STE 201, GILBERT, AZ 85295-5594
(623) 263-3966
Mailing address
855 W SOUTHERN AVE APT 1011, MESA, AZ 85210-5039
(760) 900-9690

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA13281
AZ
235Z00000X
Speech-Language Pathologist
Primary
AZ

Other

Enumeration date
08/20/2021
Last updated
05/12/2025
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