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1497266001
MICHAEL K GARDNER
DALLAS, TX
NPI
1497266001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 4871)
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
MICHAEL K GARDNER LCDC
7515 GREENVILLE AVE STE 1000
DALLAS, TX 75231-3852
Phone number: 469-480-5560
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Mailing Address
MICHAEL K GARDNER LCDC
7515 GREENVILLE AVE STE 1000
DALLAS, TX 75231-3852
Phone number: 469-480-5560
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COUNSELING AND DIAGNOSTIC CENTER, LLC