Trey Jamel Gardner
Case Manager/Care Coordinator in Wooster, OH. Individual provider (NPI-1).
NPI number1164083382
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1164083382
- Entity type
- Individual (NPI-1)
- Name
- Trey Jamel Gardner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2019
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2285 Benden DrWooster, OH 44691-2568
Phone 330-264-9029
Mailing address
2285 Benden DrWooster, OH 44691-2568
Phone 330-264-9029
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