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Individual

DIANA LEE HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
608 HIGHWOOD DR, LOUISVILLE, KY 40206-3263
(502) 714-8664
Mailing address
608 HIGHWOOD DR, LOUISVILLE, KY 40206-3263

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
4304
KY
1041C0700X
Clinical Social Worker
Primary
3157
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100269100
KY
Enumeration date
10/01/2007
Last updated
04/27/2020
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