Thomas F Gardiner IV

NPI #1225206527 in Dillingham, Alaska

Provider Information

NPI Number: 1225206527
Entity Type: Individual
Name: Thomas F Gardiner IV
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 6000 KANAKANAK ROAD
Address 2: BBAHC
City: Dillingham
State: Alaska
ZIP Code: 99576
Phone: (907) 842-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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