DR. JAMES GARDNER, JR., PHD LICSW
Social Worker - Clinical
Active
Individual
NPI: 1407819261
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 106952 (MA) |
Frequently Asked Questions
NPI 1407819261 is the National Provider Identifier for DR. JAMES GARDNER, JR., PHD LICSW, a Social Worker - Clinical provider located in South Boston, MA. This NPI was enumerated on April 11, 2006.
DR. JAMES GARDNER, JR., PHD LICSW practices at 58 OLD COLONY AVE, South Boston, MA 02127.
Quick Facts
- NPI
- 1407819261
- Type
- Individual
- Enumerated
- Apr 11, 2006
- Last Updated
- Jul 9, 2007
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