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1518319946
ALISA GARDNER
COSTA MESA, CA
NPI
1518319946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW18615)
Enumeration Date
2016-07-09
Last Update Date
2024-06-14
Business Address
ALISA GARDNER
3151 AIRWAY AVE T2
COSTA MESA, CA 92626-4607
Phone number: 949-438-2342
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Mailing Address
ALISA GARDNER
4546 EL CAMINO REAL STE B7
LOS ALTOS, CA 94022-1069
Phone number: 866-362-4246
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