DR. James Allan Gardner, Jr., PHD LICSW
NPI #1407819261 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1407819261
- Entity Type
- Individual
- Name
- DR. James Allan Gardner, Jr., PHD LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- PHD LICSW
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 58 OLD COLONY AVE
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-2406
- Phone
- (617) 268-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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