Individual
MRS. CHARLENE ANN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
819 NORTH FIRST STREET, 3RD FLOOR, DENNISON, OH 44621
(740) 922-7499
Mailing address
819 NORTH FIRST STREET, 3RD FLOOR, DENNISON, OH 44621
(740) 922-7499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S10327
OH
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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