Individual
LISA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 W DOBBINS RD, LAVEEN, AZ 85339-9733
(602) 237-9100
Mailing address
5001 W DOBBINS RD, LAVEEN, AZ 85339-9733
(602) 237-9100
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9699
AZ
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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