Individual
MRS. BRIJIN R. GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW, RPT
Contact information
Practice address
205 5TH STREET, LEAVENWORTH, KS 66048
(816) 589-1661
Mailing address
6518 NW SIOUX DR, PARKVILLE, MO 64152-3819
(816) 589-1661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2006013370
MO
1041C0700X
Clinical Social Worker
Primary
3629
KS
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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