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Individual

HEATHERLY ANN GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 725-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 725-6300
(435) 725-6325

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/21/2016
Last updated
08/11/2016
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