Female

Mrs. Maria R. Gardner LISW

Clinical Social Worker in Puyallup, WA(View on Map)

Full Name

Mrs. Maria Rodriguez Gardner LISW

NPI Number

1518216605

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/05/2012

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Illinois
Washington

License Number

149021495
LW61111786

Contact
Information

Purpose

Mailing
Location

Address

1007 39TH AVE SE
1007 39TH AVE SE

City

Puyallup
Puyallup

State

WA
WA

Postal Code

98374-2192
98374-2192

Country

US
US

Telephone Number

(253) 435-3100
(253) 435-3100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/23/2022

Provider Address

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