Individual
COURTNEY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C, LICSW
Contact information
Practice address
5315 DUVALL DR, BETHESDA, MD 20816-1873
(202) 255-8514
Mailing address
5315 DUVALL DR, BETHESDA, MD 20816-1873
(202) 255-8514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
SOLE PRACTICE
—
Enumeration date
01/22/2022
Last updated
01/22/2022
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