Individual
BEULAH HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 ALLEN ST, OAKDALE, LA 71463-3404
(337) 936-9314
Mailing address
704 ALLEN ST, OAKDALE, LA 71463-3404
(337) 936-9314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
009073963
LA
171M00000X
Case Manager/Care Coordinator
Primary
009073963
LA
Other
Enumeration date
01/03/2017
Last updated
09/11/2018
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