KEITH WAYNE GARDNER

CRESTON, IA
NPI1649612615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  03178)
Enumeration Date2013-07-19
Last Update Date2013-07-19
Business Address
-- KEITH WAYNE GARDNER LMSW
1003 COTTONWOOD RD
CRESTON, IA 50801-1012
Phone number: 641-782-8457
Mailing Address
-- KEITH WAYNE GARDNER LMSW
705 W FILMORE ST
WINTERSET, IA 50273-1046
Phone number: 515-419-0066
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