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Contact Information

JENNIFER T GARDNER
5402 SWALLOW DR
LAND O' LAKES, FL34639
 Phone: 813-789-2949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JENNIFER T GARDNER · (Female)

NPI # 1336452408
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2010
Last updated 03/28/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW16005
  • FL Medicaid 002459700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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