CLARENCE GEORGE GARDNER

SHREVEPORT, LA
NPI1902956840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: LA  296)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- CLARENCE GEORGE GARDNER Th.M., LMFT
9524 CASTLEBROOK DR
SHREVEPORT, LA 71129-4810
Phone number: 318-688-6208
Mailing Address
-- CLARENCE GEORGE GARDNER Th.M., LMFT
9524 CASTLEBROOK DR
SHREVEPORT, LA 71129-4810
Phone number: 318-688-6208
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