Individual
AMANDA HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4442 ROCK VALLEY DR, FOREST PARK, GA 30297-1582
(404) 713-2916
Mailing address
4442 ROCK VALLEY DR, FOREST PARK, GA 30297-1582
(404) 713-2916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008757
GA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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