TERIE LYNN GARDNER

FAIRFIELD, CA
NPI1528120276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  21319)
Enumeration Date2006-12-15
Last Update Date2011-03-10
Business Address
-- TERIE LYNN GARDNER LCSW
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 707-399-4900
Mailing Address
-- TERIE LYNN GARDNER LCSW
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2133