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1730316878
STEPHANIE SCANTLEN GARDNER
FORT CAMPBELL, KY
NPI
1730316878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013186)
Enumeration Date
2009-06-16
Last Update Date
2012-11-20
Business Address
-- STEPHANIE SCANTLEN GARDNER LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8601
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Mailing Address
-- STEPHANIE SCANTLEN GARDNER LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8601
Copy
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