Individual
KEITH WAYNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1003 COTTONWOOD RD, CRESTON, IA 50801-1012
(641) 782-8457
Mailing address
705 W FILMORE ST, WINTERSET, IA 50273-1046
(515) 419-0066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03178
IA
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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