Most Relevant Information
Provider Data
| NPI Number: | 1003207671 |
| Provider Name: | TAMIKA LANE GARDNER |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2015 |
| Last Updated: | 02/18/2015 |
Provider Practice Location
13220 N 56TH ST
TEMPLE TERRACE
FL
336171107
Practice Location Phone/Fax
| Phone: | 8138919474 |
| Fax: |
Provider Mailing Location
8013 N 12TH ST
TAMPA
FL
336043221
Provider Mailing Phone/Fax
| Phone: | 8137669674 |
| Fax: |