Individual
MELANIE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
10020 HAWTHORNE GROVE ST, LAS VEGAS, NV 89183-6358
(248) 470-5990
Mailing address
10020 HAWTHORNE GROVE ST, LAS VEGAS, NV 89183-6358
(248) 470-5990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11266-M
NV
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G35599461254
DRIVERS LICENSE
MI
01
—
G635599461254
DRIVERS LICENSE
MI
Enumeration date
09/26/2022
Last updated
03/14/2024
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