Gardner, Genesis Clardonia
Gardner, Genesis Clardonia is an individual health care provider with primary practice located at 1100 E Wendover Ave , Greensboro NC 27405-6713. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gardner, Genesis Clardonia can be contacted via phone (336) 641-7777.Contact Information
Primary practice address
1100 E Wendover Ave
Greensboro NC 27405-6713
Phone: (336) 641-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1780391433 |
|---|---|
| LBN Legal business name | Gardner, Genesis Clardonia |
| Credentials | MSW, LCSW-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2022 |
| Last updated | Nov 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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