Provider Information for 1194202960
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KARIN GARDNER MSW, LICSW, LCSW
Sex: Female
NPI: 1194202960
Last Updated: 2023-02-10
Certification Date: 2023-02-10
Certification Date: 2023-02-10
Details
| Name | Value | ||||||||||||
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| NPI | 1194202960 | ||||||||||||
| Enumeration Date | 2018-07-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 32 FLENSBURG DR TROY, NY 12180-9731 United States Phone: 518-269-2179 | Fax: | ||||||||||||
| Primary Practice Address | 32 FLENSBURG DR TROY, NY 12180-9731 United States Phone: 518-269-2179 | Fax: | ||||||||||||
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