Individual
MISS DEBORAH ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
13575 LESURE, STAR CENTER, INC, DETROIT, MI 48227-3131
(313) 493-4410
(313) 493-4415
Mailing address
9660 CORNELL ST, TAYLOR, MI 48180-3428
(313) 247-0596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802079351
MI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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