Individual
AUTUMN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 NEW KARNER RD, ALBANY, NY 12205-3852
(315) 879-8772
Mailing address
427 NEW KARNER RD, ALBANY, NY 12205-3852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P137665
NY
Other
Enumeration date
09/04/2025
Last updated
09/17/2025
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