Individual
KAREN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3707 N CANYON RD STE 2C, PROVO, UT 84604-4596
(801) 225-3111
(801) 225-9809
Mailing address
3707 N CANYON RD STE 2C, PROVO, UT 84604-4596
(801) 225-3111
(801) 225-9809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7113602-3501
UT
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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