Individual
KAMI LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
(801) 448-1331
Mailing address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
UT
172V00000X
Community Health Worker
Primary
—
UT
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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