Tera Anne Gardner LICSW

NPI 1255595187 - Social Worker - 1041C0700X

NPI Details
NPI 1255595187
Gender Female
Enumeration Date 07/10/2008
Last Updated 07/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1919 UNIVERSITY AVE W
SUITE 200
SAINT PAUL MN, 55104-3453, US
Phone (651) 266-7900
Fax (651) 266-7850
Business Location
1919 UNIVERSITY AVE W
SUITE 200
SAINT PAUL MN, 55104-3453, US
Phone (651) 266-7900
Fax (651) 266-7850
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 17447
Remove 1255595187 NPI Number
 

According to our database, Mrs. Tera Anne Gardner LICSW NPI is 1255595187, taxonomy code is 1041C0700X and license number is 17447, license state is located at Minnesota. Tera Anne Gardner LICSW physically located at 1919 University Ave W, Saint Paul MN, 55104-3453. NPI Number Tera Anne Gardner LICSW has the Individual type.

Sponsored links

1255595187 NPI number is provided on an as is basis without warranty of any kind. 1255595187 is maintained by the National Plan & Provider Enumeration System. The contents of Tera Anne Gardner LICSW are for informational purposes only.