Individual
ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1550 E BELTLINE AVE SE STE 255, GRAND RAPIDS, MI 49506-4362
(616) 947-4440
Mailing address
2181 ENGLESIDE DR SE, GRAND RAPIDS, MI 49546-6224
(616) 240-6668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801090857
—
1041C0700X
Clinical Social Worker
6801090857
MI
Other
Enumeration date
10/07/2010
Last updated
01/18/2024
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