Individual
ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 KING ST, NORTHAMPTON, MA 01060-3234
(413) 665-8717
Mailing address
131 KING ST, NORTHAMPTON, MA 01060-3234
(860) 934-9769
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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