Individual
JOHN L GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT MA
Contact information
Practice address
40 MAIN ST, SUITE 206, FLORENCE, MA 01062
(413) 586-2300
Mailing address
95 PARKER ST, NEWBURYPORT, MA 01950-4033
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1180
MA
Other
Enumeration date
02/20/2007
Last updated
11/19/2011
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