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Individual

LOURICA ELLIS HARDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HEALTH EDUCATOR

Contact information

Practice address
2637 TULIP LN STE 240, GREEN BAY, WI 54313-6885
(920) 333-1773
Mailing address
2637 TULIP LN STE 240, GREEN BAY, WI 54313-6885
(920) 333-1773

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
174H00000X
Health Educator
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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