Organization
FAIR MINDED SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EDWARD GARDNER (PSYCHOLOGIST)
(248) 802-7713
Entity
Organization
Contact information
Practice address
30665 NORTHWESTERN HWY STE 255, FARMINGTON HILLS, MI 48334-3144
(248) 802-7713
Mailing address
9132 W WALDEN DR, VAN BUREN TWP, MI 48111-2692
(248) 802-7713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
07/21/2023
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