Individual
ASHLEY BROOKE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 HARBOR BLVD, COSTA MESA, CA 92626-6143
(714) 668-1468
Mailing address
2501 HARBOR BLVD, COSTA MESA, CA 92626-6143
(714) 668-1468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3984
OR
1041C0700X
Clinical Social Worker
Primary
LCS 20706
CA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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