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Individual
TERRY A HARDISON
Active
Individual
TERRY A HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131RM
BCBS PROVIDER NUMBER
NC
01
—
562165173
FED IDENTIFICATION NUMBER
—
05
—
6002754
—
NC
Enumeration date
12/26/2006
Last updated
03/24/2021
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