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Individual
RITA FRANDSEN GARDNER
Active
Individual
RITA FRANDSEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24795
CA
1041C0700X
Clinical Social Worker
17730 LCSW
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17730 LCSW
BBS PROVIDER LICENSE #
CA
Enumeration date
07/02/2007
Last updated
03/18/2015
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