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Individual
MR. DOUGLAS EDWARD GARDNER
Active
Individual
MR. DOUGLAS EDWARD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1999C
AL
1041C0700X
Clinical Social Worker
3222063501
UT
1041C0700X
Clinical Social Worker
Primary
6801091525
MI
1041C0700X
Clinical Social Worker
C6753
MS
1041C0700X
Clinical Social Worker
I1500231
OH
Other
Enumeration date
06/08/2006
Last updated
11/16/2021
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