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Individual

MS. SEDONIA AIME HARTWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADAC

Contact information

Practice address
2200 BERGQUIST AVE STE 101, 59 MHS, LACKLAND AFB, TX 78236-9907
(210) 292-6022
(210) 292-7712
Mailing address
2200 BERGQUIST AVE STE 101, 59 MHS, LACKLAND AFB, TX 78236-9907
(210) 292-6022
(210) 292-7712

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
111395

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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