Individual
TASHA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4324 UNIVERSITY AVE STE C, GRAND FORKS, ND 58203-1938
(701) 775-7725
Mailing address
4324 UNIVERSITY AVE STE C, GRAND FORKS, ND 58203-1938
(701) 775-7725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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