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Individual

RACHEL IRENE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
168 E 800 N, SPRINGVILLE, UT 84663-1147
(714) 606-3129
Mailing address
PO BOX 5, SPRINGVILLE, UT 84663-0005
(385) 325-0533

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9240433-3501
UT

Other

Enumeration date
07/11/2017
Last updated
07/11/2017
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