Individual
INEZ GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701-2602
(573) 708-7250
(800) 687-5070
Mailing address
4721 S CLIFF AVE, INDEPENDENCE, MO 64055-7016
(816) 608-1956
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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