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1609149210
MICHAEL TIMOTHY GARDNER
KNOXVILLE, TN
NPI
1609149210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000004287)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
Mr. MICHAEL TIMOTHY GARDNER LCSW
5410 HOMBERG DR SUITE 14
KNOXVILLE, TN 37919-5031
Phone number: 865-588-3178
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Mailing Address
Mr. MICHAEL TIMOTHY GARDNER LCSW
6937 SICILIA LN
CORRYTON, TN 37721-3538
Phone number: 865-399-4033
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