Individual
GWENDOLYN LANIER-GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RIVER PL APT B210, LOWELL, MA 01852-1076
(617) 416-2920
Mailing address
3 RIVER PL APT B210, LOWELL, MA 01852-1076
(617) 416-2920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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