Individual
ANDREA LEA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
151 S WALNUT ST STE C6, LAS CRUCES, NM 88001-2617
(575) 527-5770
(575) 532-1928
Mailing address
151 S WALNUT ST STE C6, LAS CRUCES, NM 88001-2617
(207) 447-1547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10766
NM
Other
Enumeration date
07/27/2017
Last updated
10/01/2019
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