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1497773774
MICHAEL LEE GARDNER
FORT WORTH, TX
NPI
1497773774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 19711)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL LEE GARDNER LPC
4921 ROYAL DR
FORT WORTH, TX 76116-8827
Phone number: 817-377-1101
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Mailing Address
Mr. MICHAEL LEE GARDNER LPC
6017 REEF POINT LN SUITE 115
LAKE WORTH, TX 76135-7004
Phone number: 817-915-4276
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