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Jennifer Marie Gardner, MSW, LMSW

Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).

NPI number1669974556
StatusActive
Last updated in NPPESOct 15, 2021

Details

NPI
1669974556
Entity type
Individual (NPI-1)
Name
Ms. Jennifer Marie Gardner
Credential
MSW, LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2018
Certification date
Oct 15, 2021
Last updated
Oct 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801085840MIYes

Practice location

500 Renaissance Ctr
Detroit, MI 48243-1929

Phone 313-983-2583

Mailing address

500 Renaissance Ctr
Detroit, MI 48243-1929

Phone 313-983-2583

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