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Individual

TAMARA RENEE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
175 1ST PL NW, SUITE A, ISSAQUAH, WA 98027-2744
(206) 724-9798
Mailing address
3007 38TH AVE W, SEATTLE, WA 98199-2512
(206) 829-8533

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12012863
WA

Other

Enumeration date
12/09/2009
Last updated
12/09/2009
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