Angel Gardner

NPI #1033495056 in Brandon, Florida

Provider Information

NPI Number: 1033495056
Entity Type: Individual
Name: Angel Gardner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 24, 2011
Last Updated: Oct 24, 2011

Practice Location

Address: 135 N MOON AVE
City: Brandon
State: Florida
ZIP Code: 33510-4419
Phone: (813) 689-8828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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