Organization
KATE BRADLEY GARDNER, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATE BRADLEY GARDNER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 374-3119
Entity
Organization
Contact information
Practice address
7 OLD SHERMAN TPKE STE 102, DANBURY, CT 06810-4174
(860) 374-3119
Mailing address
7 OLD SHERMAN TPKE STE 102, DANBURY, CT 06810-4174
(860) 374-3119
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282235
—
CT
Enumeration date
02/12/2020
Last updated
02/12/2020
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