Individual
JOHN B GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 S 16TH ST, PHILADELPHIA, PA 19102-4907
(719) 569-1419
Mailing address
316 S 16TH ST, PHILADELPHIA, PA 19102-4907
(719) 569-1419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143448
PA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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