Individual
REBECCA SMOOT GARDNER
Active
Individual
REBECCA SMOOT GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11638
MD
1041C0700X
Clinical Social Worker
119500
CA
1041C0700X
Clinical Social Worker
Primary
1514
CO
Other
Enumeration date
04/03/2007
Last updated
03/18/2026
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