Carole Sue Gardner M.S.

NPI 1194994640 - Counselor - 101YM0800X

NPI Details
NPI 1194994640
Gender Female
Enumeration Date 02/28/2008
Last Updated 02/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
182 SW ACADEMY ST
SUITE 322
DALLAS OR, 97338-1922, US
Phone (503) 269-2441
Fax (503) 831-1706
Business Location
182 SW ACADEMY ST
SUITE 322
DALLAS OR, 97338-1922, US
Phone (503) 269-2441
Fax (503) 831-1706
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Carole Sue Gardner M.S. NPI is 1194994640, taxonomy code is 101YM0800X Carole Sue Gardner M.S. physically located at 182 Sw Academy St, Dallas OR, 97338-1922. NPI Number Carole Sue Gardner M.S. has the Individual type.

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1194994640 NPI number is provided on an as is basis without warranty of any kind. 1194994640 is maintained by the National Plan & Provider Enumeration System. The contents of Carole Sue Gardner M.S. are for informational purposes only.