Individual
NICOLE GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
2001 W SUNSET DR, RIVERTON, WY 82501-2256
(307) 856-9491
Mailing address
121 N 5TH ST W, RIVERTON, WY 82501-3453
(307) 856-9407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CFY-1241
WY
Other
Enumeration date
06/28/2011
Last updated
05/17/2022
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