Individual
ASHLEIGH B GARDNER-CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
Mailing address
20514 HEATH HOUSE, PORTER, TX 77365-1299
(832) 334-1370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0811
NM
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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