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1841503554
JUSTIN GARDNER
AUSTIN, TX
NPI
1841503554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63455)
Enumeration Date
2010-07-22
Last Update Date
2010-07-22
Business Address
-- JUSTIN GARDNER LPC
3625 MANCHACA RD #202
AUSTIN, TX 78704-6631
Phone number: 512-736-9166
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Mailing Address
-- JUSTIN GARDNER LPC
3625 MANCHACA RD #202
AUSTIN, TX 78704-6631
Phone number: 512-736-9166
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