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Organization
MADELINE V GARDINER
Active
Organization
MADELINE V GARDINER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI GARDINER (OWNER)
(737) 286-8275
Entity
Organization
Contact information
Practice address
30107 SAW GRASS TRAIL, GEORGETOWN, TX 78628-1139
(737) 286-8275
Mailing address
30107 SAW GRASS TRAIL, GEORGETOWN, TX 78628-1139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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