Individual
JUSTIN WAYNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-4820
Mailing address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-4820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116442
CA
Other
Enumeration date
12/16/2018
Last updated
10/18/2023
About Stedi
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