MARK GARDNER, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1073604112
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 0904005796 (VA) |
Frequently Asked Questions
NPI 1073604112 is the National Provider Identifier for MARK GARDNER, LCSW, a Social Worker - Clinical provider located in Mc Lean, VA. This NPI was enumerated on September 27, 2006.
MARK GARDNER, LCSW practices at 1319 VINCENT PL, Mc Lean, VA 22101.
Quick Facts
- NPI
- 1073604112
- Type
- Individual
- Enumerated
- Sep 27, 2006
- Last Updated
- Mar 17, 2016
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