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1649612615
KEITH WAYNE GARDNER
CRESTON, IA
NPI
1649612615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 03178)
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
-- KEITH WAYNE GARDNER LMSW
1003 COTTONWOOD RD
CRESTON, IA 50801-1012
Phone number: 641-782-8457
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Mailing Address
-- KEITH WAYNE GARDNER LMSW
705 W FILMORE ST
WINTERSET, IA 50273-1046
Phone number: 515-419-0066
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