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Individual
JUSTIN GARDNER
Active
Individual
JUSTIN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63455
TX
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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