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Individual

MRS. DENETRA L HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
302 S WILLOW ST, GLENWOOD, IL 60425-1826
(708) 785-7810
Mailing address
302 S WILLOW ST, GLENWOOD, IL 60425-1826
(708) 785-7810

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178001961
IL

Other

Enumeration date
06/08/2021
Last updated
07/12/2021
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