Individual
ASHLEIGH KRISTIN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 CHERRY ST, CALVERTON, NY 11933-9779
(631) 603-2542
Mailing address
166 KELLY CIR, HUBERT, NC 28539-3726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
085941
NY
1041C0700X
Clinical Social Worker
Primary
C011123
NC
Other
Enumeration date
12/01/2017
Last updated
12/01/2020
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