Individual
MRS. LAURA LEIGH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
221 STALLSVILLE RD, SUMMERVILLE, SC 29485-4934
(843) 832-1795
Mailing address
141 SPRING MEADOWS DR, SUMMERVILLE, SC 29485-8792
(843) 851-9084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4765
SC
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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