Individual
MRS. KATRINA M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4457 W BRIDGESTONE DR, CEDAR HILLS, UT 84062-7723
(305) 772-4159
(305) 772-4159
Mailing address
165 S 1000 E, SALT LAKE CITY, UT 84102-1402
(305) 772-4159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11544546-3501
UT
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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