Keith Wayne Gardner, LMSW

NPI #1649612615 in Creston, Iowa

Provider Information

NPI Number
1649612615
Entity Type
Individual
Name
Keith Wayne Gardner, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Jul 19, 2013
Last Updated
Jul 19, 2013

Practice Location

Address
1003 COTTONWOOD RD
State
Iowa
ZIP Code
50801-1012
Phone
(641) 782-8457

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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