Macie Gardner

NPI #1316613433 in Payette, Idaho

Provider Information

NPI Number: 1316613433
Entity Type: Individual
Name: Macie Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 18, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 250 S MAIN ST
City: Payette
State: Idaho
ZIP Code: 83661-2853
Phone: (208) 405-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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