Individual
MS. ANITA RENEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1900 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-2542
(202) 548-6512
(202) 548-6534
Mailing address
1900 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-2542
(202) 548-6512
(202) 548-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50077682
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
07/14/2008
Last updated
07/14/2008
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