Individual
FENNISHA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23010 BLACKSTONE PARK RD, KATY, TX 77493-3973
(907) 980-9665
Mailing address
23010 BLACKSTONE PARK RD, KATY, TX 77493-3973
(907) 980-9665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSWS1169
AK
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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