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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JETAUN T GARDNER, LSW

Active Sole Proprietor

JETAUN T GARDNER, LSW is a Clinical Social Worker healthcare provider located in MUNSTER, Indiana. NPI 1659850121 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MUNSTER, IN

Registration Details

NPI Number
1659850121
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2018 (7.9929172501375 yrs)
Last Updated
Aug 7, 2018
License
99087806A (IN)
Sole Proprietor
Yes

Practice Information

Address
9335 CALUMET AVE STE D
MUNSTER, IN, 463214176
Browse IN providers · Browse ZIP 46321
Phone
2198369200
Fax
2198364200
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MUNSTER, IN

Name Credential NPI
JOHN MICHAEL NELSON LCSW 1093701542
DAVID L MILLER LCSW 1841236007
MR. FIDEL RICARDO MARTINEZ LCSW, CEAP 1629085857
VALERIE D WISE BURRELL LCSW 1548385669
MS. JANET MARIE VIERS LCSW 1508083585
MRS. BARBARA WEISBAUM ROZENFELD L.C.S.W. 1134333834
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.