Individual
MRS. LAURIE JOANNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 BRUNSWICK AVE, GARDINER, ME 04345-2123
(207) 462-0596
(207) 549-3198
Mailing address
17 BRUNSWICK AVE, GARDINER, ME 04345-2123
(207) 462-0596
(207) 549-3198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10406
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431738699
—
ME
Enumeration date
09/25/2007
Last updated
09/25/2007
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