Individual
BROOK L HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
616 E COLFAX AVE, SOUTH BEND, IN 46617-2827
(574) 401-0941
Mailing address
721 COTTAGE GROVE AVE, SOUTH BEND, IN 46616-1203
(574) 401-0941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002242A
IN
Other
Enumeration date
10/10/2008
Last updated
09/03/2021
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