Individual
CODY HARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6339 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
(765) 748-1840
Mailing address
2632 SPRINGFIELD AVE, FORT WAYNE, IN 46805-1550
(765) 748-1840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33012487A
IN
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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