Individual
NATISHA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
410 LATONIA ST, KISSIMMEE, FL 34741-6019
(321) 402-9080
Mailing address
410 LATONIA ST, KISSIMMEE, FL 34741-6019
(321) 402-9080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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