Individual
AMANDA LEIGH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19477 CARL HOPPE RD, IOWA, LA 70647-6102
(337) 794-9761
Mailing address
19477 CARL HOPPE RD, IOWA, LA 70647-6102
(337) 794-9761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15117
LA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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