Individual
CORETTE MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2205 STATE ST, PEKIN, IL 61554-3936
(309) 648-0782
Mailing address
1017 S MERCER AVE APT 328, BLOOMINGTON, IL 61701-7183
(828) 269-8330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117490
IL
104100000X
Social Worker
LM19322
ME
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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