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1528120276
TERIE LYNN GARDNER
FAIRFIELD, CA
NPI
1528120276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 21319)
Enumeration Date
2006-12-15
Last Update Date
2011-03-10
Business Address
-- TERIE LYNN GARDNER LCSW
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 707-399-4900
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Mailing Address
-- TERIE LYNN GARDNER LCSW
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2133
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