Thomas A Gardner Valid NPI
Individual provider · Social Worker · Lagrange, KY
- NPI
- 1780793372
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 1132 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Practice location
230 Yager Ave Ste 5
Lagrange, KY 40031-1060
(502) 589-1100