Individual
MRS. MARIA RODRIGUEZ GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3138
Mailing address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 535-3138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149021495
IL
1041C0700X
Clinical Social Worker
Primary
LW61111786
WA
Other
Enumeration date
09/05/2012
Last updated
08/23/2022
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