Individual
MIKAYLA M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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