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Individual

DR. LEE A MUECKE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
818 HARRIAD DR W, SEAFORD, NY 11783-1206
(516) 384-3743
Mailing address
818 HARRIAD DR W, SEAFORD, NY 11783-1206
(516) 384-3743

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009675
NY

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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