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Individual

DANIELLE HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
424 E B ST APT B, MOSCOW, ID 83843-2759
(208) 816-1449
Mailing address
PO BOX 83, OROFINO, ID 83544-0083
(208) 816-1449

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11878
ID
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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