Individual
JAMAL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-A
Contact information
Practice address
6608 WANDERVIEW LN, CHARLOTTE, NC 28214-1963
(919) 704-6758
Mailing address
6608 WANDERVIEW LN, CHARLOTTE, NC 28214-1963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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