Individual
CHAD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1173 S WASHBURN ST, SUITE H, OSHKOSH, WI 54904-8053
(920) 385-1420
(920) 519-0063
Mailing address
1173 S WASHBURN ST, SUITE H, OSHKOSH, WI 54904-8053
(920) 385-1420
(920) 519-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128713-121
WI
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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