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Individual

MR. JOSEPH MATTHEW GARDZINA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
400 W MULBERRY ST, ANGLETON, TX 77515-5504
(979) 480-3327
(979) 848-0259
Mailing address
PO BOX 474, ANGLETON, TX 77516-0474
(979) 480-3327
(979) 848-0259

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7657
TX

Other

Enumeration date
07/07/2005
Last updated
07/08/2007
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