Individual
DANIEL J. JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
Mailing address
800 AUGUSTA LN, FALLON, NV 89406-3472
(208) 569-8920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6287-C
NV
Other
Enumeration date
09/17/2009
Last updated
10/22/2012
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