Individual
TIMIA JENELL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1365 DEVONPORT DR, LEXINGTON, KY 40504-1552
(859) 229-8027
Mailing address
2520 BRIDLE CT, LEXINGTON, KY 40504-1619
(859) 536-0548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00001179
KY
Other
Enumeration date
08/31/2022
Last updated
12/22/2025
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