Thomas A Gardner

NPI #1780793372 in Lagrange, Kentucky

Provider Information

NPI Number: 1780793372
Entity Type: Individual
Name: Thomas A Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 230 YAGER AVE STE 5
City: Lagrange
State: Kentucky
ZIP Code: 40031-1060
Phone: (502) 589-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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