Mr. Douglas E. Gardner LMSW
Clinical Social Worker in Farmington Hills, MI(View on Map)
Full Name
Mr. Douglas Edward Gardner LMSW
NPI Number
1548200462
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/08/2006
Specialties
(Taxonomies)Licenses
State
Alabama
Michigan
Mississippi
Ohio
Utah
License Number
1999C
6801091525
C6753
I1500231
3222063501
Contact
Information
Purpose
Mailing
Location
Address
37634 ENTERPRISE CT
37634 ENTERPRISE CT
City
Farmington Hills
Farmington Hills
State
MI
MI
Postal Code
48331-3440
48331-3440
Country
US
US
Telephone Number
(248) 553-0902
(248) 553-0902
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/16/2021